PAGE O KIMBALL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093161887

PAGE O KIMBALL (CRNA) is a healthcare provider. based in Sunrise, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. NP0216 (GU). The NPI Number for PAGE O KIMBALL (CRNA) is 1093161887

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
PAGE O KIMBALL (CRNA)
NPI
1093161887
Phone
(800) 437-2672
Address
1613 N. HARRISON PKWY
Enumeration Date
11 May 2016
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6716474542
Graduation Year
2015 (11 years ago)
PAC ID
6507155454
Group Practice PAC ID
3779482286
Professional Enrollment ID
I20201023002729
Address ID
GU969133615TA280XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

974 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MD

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Provider Addresses for PAGE O KIMBALL (CRNA)

  • Sunrise, Harrison County, Kentucky, United States

    SUNRISE, FL 33323

    Phone: (800) 437-2672

    Type: Mailing

  • Peninsula Regional Medical Center, 100, East Carroll Street, Salisbury, Wicomico County, Maryland, 21801, United States

    SALISBURY, MD 218015422

    Phone: (410) 546-6400

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190328002462ICertified Registered Nurse Anesthetist (Crna)NYTBD
I20201023002729ICertified Registered Nurse Anesthetist (Crna)GUTBD
I20231221001357ICertified Registered Nurse Anesthetist (Crna)UTTBD

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
00142Anesthesia for lens surgery237209$0
00145Anesthesia for retinal surgery4644$0
00140Anesthesia for other procedure on eye2220$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1212$0
View full utilization report →

Insurance plans in this area (ZIP 33323)

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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: 3779482286View full group profile
NameSpecialtyState
General SurgeryWI
Orthopedic SurgeryGU
General Surgery, Vascular SurgeryGU
General SurgeryGU
Certified Registered Nurse Anesthetist (Crna)GU
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What identifier follows PAGE O KIMBALL (CRNA) across health systems?
The NPI 1093161887 uniquely identifies PAGE O KIMBALL (CRNA) in U.S. healthcare data.
Should I treat PAGE O KIMBALL (CRNA) as an active provider?
Patients and plans typically see PAGE O KIMBALL (CRNA) as active in the national extract.
Which specialty label fits PAGE O KIMBALL (CRNA)?
NPPES ties PAGE O KIMBALL (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PAGE O KIMBALL (CRNA)?
PAGE O KIMBALL (CRNA) is associated with Sunrise, Florida in the same public data insurers reference.
Can I export PAGE O KIMBALL (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.