JACKI L KIPE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1710984307

Certified Registered Nurse Anesthetist

JACKI L KIPE (CRNA) is a healthcare provider. based in Pueblo, Colorado. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 170699 (CO). The NPI Number for JACKI L KIPE (CRNA) is 1710984307

Main info

Female

Sole Proprietor

22 Years Of Experience

Accepts Medicare Assignment

Name

JACKI L KIPE (CRNA)

NPI

1710984307

Phone

(719) 543-7827

Address

1218 N MAIN ST

Enumeration Date

28 June 2005

Last Update Date

5 November 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8173373671

Graduation Year

2004 (22 years ago)

PAC ID

9537108857

Group Practice PAC ID

4789845363

Professional Enrollment ID

I20111108000725

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JACKI L KIPE (CRNA)

North Main Street, El Pueblo, Downtown, Los Angeles, Los Angeles County, California, 90012, United States
PUEBLO, CO 810032828
Phone: (719) 543-7827
Fax: (719) 543-7882
Type: Mailing
Parkview Medical Center, 400, West 16th Street, Mineral Palace, Pueblo, Pueblo County, Colorado, 81003, United States
PUEBLO, CO 810032745
Phone: (719) 543-7877
Fax: (719) 543-7882
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4789845363View full group profile

Name	Specialty	State
MR. RICHMOND SULLY THIBODEAUX (C.R.N.A.)	Certified Registered Nurse Anesthetist (Crna)	LA
MRS. JUDITH ALTHEA BOCK (CRNA)	Certified Registered Nurse Anesthetist (Crna)	HI
MR. MICAH DAN COWAN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
BRANDIS F THOMPSON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
LOUIS CRAIG LEGRAND (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
AMBER KAY WALKINGTON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
SCOTT MADEWELL (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
JAMES R JOHNSON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
CLINTON COLLINS YORK (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
Unknown Individual	-	TX

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Frequently asked questions

What is JACKI L KIPE (CRNA)'s NPI number?

JACKI L KIPE (CRNA)'s NPI is 1710984307 — the number used across U.S. healthcare to identify this provider.

Would JACKI L KIPE (CRNA) appear as active to a payer?

You can treat JACKI L KIPE (CRNA) as active for directory purposes; confirm clinical privileges separately.

What kind of doctor is JACKI L KIPE (CRNA)?

JACKI L KIPE (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.

What locale is associated with JACKI L KIPE (CRNA)?

Directory geography for JACKI L KIPE (CRNA) centers on Pueblo, Colorado.

What does 2 location(s) imply?

2 practice locations appear in the available data.