MS. KATHLEEN ANNE THIBEAULT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003867060

MS. KATHLEEN ANNE THIBEAULT (CRNA) is a healthcare provider. based in West palm beach, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1392452 (FL). The NPI Number for MS. KATHLEEN ANNE THIBEAULT (CRNA) is 1003867060

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN ANNE THIBEAULT (CRNA)
NPI
1003867060
Phone
(561) 840-3444
Address
903 45TH ST
Enumeration Date
15 May 2006
Last Update Date
11 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006947225
Graduation Year
2004 (22 years ago)
PAC ID
1557393188
Group Practice PAC ID
5092856757
Professional Enrollment ID
I20050906000088
Address ID
FL334104323PA3360XRDXX300
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

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MS. KATHLEEN ANNE THIBEAULT (CRNA)

  • 903, 45th Street, West Palm Beach, Palm Beach County, Florida, 33407, United States

    WEST PALM BEACH, FL 334072413

    Phone: (561) 840-3444

    Fax: (561) 840-3490

    Type: Mailing

  • 901, 45th Street, West Palm Beach, Palm Beach County, Florida, 33407, United States

    WEST PALM BEACH, FL 334072413

    Phone: (561) 840-3444

    Fax: (561) 840-3490

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-09-02 • Largest payer in this snapshot: Abbott Laboratories ($79).

Total Amount

$117

General + Research + Ownership

Payments

5

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050906000088ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00902Anesthesia for procedure on anus and rectum1111$0
View full utilization report →

Insurance plans in this area (ZIP 33407)

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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: 5092856757View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I cross-check MS. KATHLEEN ANNE THIBEAULT (CRNA) using NPI 1003867060?
NPI 1003867060 belongs to MS. KATHLEEN ANNE THIBEAULT (CRNA); compare other details if you need extra assurance.
Active or inactive — what applies to MS. KATHLEEN ANNE THIBEAULT (CRNA)?
You should see MS. KATHLEEN ANNE THIBEAULT (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is MS. KATHLEEN ANNE THIBEAULT (CRNA)?
MS. KATHLEEN ANNE THIBEAULT (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is MS. KATHLEEN ANNE THIBEAULT (CRNA) located near West Palm Beach?
MS. KATHLEEN ANNE THIBEAULT (CRNA) currently maps to West Palm Beach, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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