KIMBERLY PUTT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386965994

KIMBERLY PUTT (CRNA) is a healthcare provider. based in Orlando, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9232983 (FL). The NPI Number for KIMBERLY PUTT (CRNA) is 1386965994

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY PUTT (CRNA)
NPI
1386965994
Phone
(407) 667-0444
Address
601 E ROLLINS ST
Enumeration Date
17 June 2010
Last Update Date
25 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702455989
Graduation Year
2010 (16 years ago)
PAC ID
5890819304
Group Practice PAC ID
2860798303
Professional Enrollment ID
I20211021003267
Address ID
CO815018180GR1000XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

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

Provider Addresses for KIMBERLY PUTT (CRNA)

  • 601 E ROLLINS ST

    ORLANDO, FL 328031248

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Location

  • 851 TRAFALGAR CT

    STE 200E

    MAITLAND, FL 327517420

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Mailing

  • 1000 WELLINGTON AVE

    GRAND JUNCTION, CO 815018180

    Phone:

    Type: Mailing

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: 2021-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100903000515ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20211021003267ICertified Registered Nurse Anesthetist (Crna)COTBD

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 surgery916673$0
00140Anesthesia for other procedure on eye7055$0
View full utilization report →

Insurance plans in this area (ZIP 32803)

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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: 2860798303View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Is there an official ID for KIMBERLY PUTT (CRNA) in U.S. healthcare records?
The official identifier for KIMBERLY PUTT (CRNA) is NPI 1386965994.
Is KIMBERLY PUTT (CRNA) shown as active in public data?
Registry records indicate KIMBERLY PUTT (CRNA) maintains an active NPI.
What kind of doctor is KIMBERLY PUTT (CRNA)?
KIMBERLY PUTT (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is KIMBERLY PUTT (CRNA) located near Orlando?
KIMBERLY PUTT (CRNA) currently maps to Orlando, Florida in this extract.
When was this NPI issued?
Enumeration for KIMBERLY PUTT (CRNA) is noted as June 17, 2010 where the registry provides it.

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