TARA M KINNEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164748646

TARA M KINNEY (CRNA) is a healthcare provider. based in Davenport, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R1566983 (MN). The NPI Number for TARA M KINNEY (CRNA) is 1164748646

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
TARA M KINNEY (CRNA)
NPI
1164748646
Phone
(563) 334-0234
Address
3400 DEXTER CT STE 104
Enumeration Date
9 April 2010
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633446600
Graduation Year
2010 (16 years ago)
PAC ID
8729110739
Group Practice PAC ID
9335378264
Professional Enrollment ID
I20140811000418
Address ID
IA528073463DA3400XCTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

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Provider Addresses for TARA M KINNEY (CRNA)

  • Dexter Court, Davenport, Scott County, Iowa, 52807, United States

    DAVENPORT, IA 528073419

    Phone: (563) 334-0234

    Fax: (563) 334-0235

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$39
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: 2014-08-11

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
I20140811000418ICertified Registered Nurse Anesthetist (Crna)IATBD

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 surgery3430$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3232$0
00811Anesthesia for other procedure on large bowel using an endoscope2726$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2020$0
01402Anesthesia for procedure for total knee joint replacement2019$0
View full utilization report →

Insurance plans in this area (ZIP 52807)

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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: 9335378264View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What is the standard ID for TARA M KINNEY (CRNA) in the U.S.?
In the U.S., TARA M KINNEY (CRNA) is identified by NPI 1164748646.
Is TARA M KINNEY (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists TARA M KINNEY (CRNA) as active.
What does the directory say TARA M KINNEY (CRNA) does?
Insurance directories may phrase it differently, but here TARA M KINNEY (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TARA M KINNEY (CRNA)?
TARA M KINNEY (CRNA) is associated with Davenport, Iowa in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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