KENT KOSMATKA (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1891771770

Certified Registered Nurse Anesthetist

KENT KOSMATKA (C.R.N.A.) is a healthcare provider. based in Marion, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials C.R.N.A.. They hold a License No. 209000291 (IL). The NPI Number for KENT KOSMATKA (C.R.N.A.) is 1891771770

Main info

Male

35 Years Of Experience

Accepts Medicare Assignment

Name

KENT KOSMATKA (C.R.N.A.)

NPI

1891771770

Phone

(660) 826-5960

Address

3333 W DEYOUNG ST

Enumeration Date

21 December 2005

Last Update Date

17 January 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8437848000

Graduation Year

1991 (35 years ago)

PAC ID

7012902992

Group Practice PAC ID

3678897915

Professional Enrollment ID

I20230505001475

Address ID

SC299273446HA1000XDRXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience73

Completeness75

Years active:20State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for KENT KOSMATKA (C.R.N.A.)

Heartland Regional Medical Center, 3333, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 629595884
Phone: (660) 826-5960
Fax: (660) 826-4852
Type: Location
PO BOX 503256
SAINT LOUIS, MO 631500001
Phone: (660) 826-5960
Fax: (660) 826-4852
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: 2023-05-05

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20171005003208	I	Certified Registered Nurse Anesthetist (Crna)	CO	TBD
I20230505001475	I	Certified Registered Nurse Anesthetist (Crna)	SC	TBD

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.

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

Insurance plans in this area (ZIP 62959)

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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: 3678897915View full group profile

Name	Specialty	State
AHMED MOYUKH UDDIN	A N E S T H E S I O L O G Y	IL
ROBERT BEYERLEIN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
DR. JOSEPH J DOMINGUEZ (M.D.)	-	CA
THERESA L JONES (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
DR. EDWARD B. FERRER (MD)	-	FL
QUYNH THIEN QUACH (D.O.)	A N E S T H E S I O L O G Y	CA
PHILLIP N RUHL (DO)	A N E S T H E S I O L O G Y	CA
JAMES CASWELL (MD)	A N E S T H E S I O L O G Y	MI
JACQUELINE TRASSER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	PA
DR. JOSHUA B SIEGEL (MD)	Anesthesiology, Internal Medicine	OR

Reviews

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Frequently asked questions

What unique ID ties claims to KENT KOSMATKA (C.R.N.A.)?

NPI 1891771770 is assigned to KENT KOSMATKA (C.R.N.A.) under the national enumeration system.

Does this profile mean KENT KOSMATKA (C.R.N.A.) is currently active?

Yes — KENT KOSMATKA (C.R.N.A.) appears active in the national provider directory.

What does KENT KOSMATKA (C.R.N.A.) treat or focus on?

Patients typically see KENT KOSMATKA (C.R.N.A.) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where is KENT KOSMATKA (C.R.N.A.)'s primary listing?

We display Marion, Illinois because that is what the record indicates for KENT KOSMATKA (C.R.N.A.).

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.