KATHLEEN S GINN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073749271

KATHLEEN S GINN (CRNA) is a healthcare provider. based in Jackson, Michigan. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. L1-0017193 (DE). The NPI Number for KATHLEEN S GINN (CRNA) is 1073749271

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN S GINN (CRNA)
NPI
1073749271
Phone
(517) 787-6440
Address
255 W MICHIGAN AVE
Enumeration Date
3 June 2009
Last Update Date
3 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3028368350
Graduation Year
2009 (17 years ago)
PAC ID
5193871457
Group Practice PAC ID
9537064498
Professional Enrollment ID
I20090929000156
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for KATHLEEN S GINN (CRNA)

  • 255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    PO BOX 1123

    JACKSON, MI 492012218

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • 2, Reads Way, Christiana Acres, New Castle County, Delaware, 19720, United States

    SUITE 201

    NEW CASTLE, DE 197201607

    Phone: (302) 709-4706

    Fax: (302) 709-4551

    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: 2009-09-29

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
I20090929000156ICertified Registered Nurse Anesthetist (Crna)DETBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
00812Anesthesia for exam of colon using an endoscope1919$0
00910Anesthesia for other procedure on urinary system through urethra1515$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Provider's Procedures

KATHLEEN S GINN (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETDE01402Anesthesia for open or endoscopic total knee joint replacement1212

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: 9537064498View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)PA
Anesthesiology, Pain ManagementNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHLEEN S GINN (CRNA)?
KATHLEEN S GINN (CRNA) — NPI 1073749271 — is the standard way to identify this listing.
Does the file indicate KATHLEEN S GINN (CRNA) is practicing under active NPI?
Directory data currently reports KATHLEEN S GINN (CRNA) as active.
What is KATHLEEN S GINN (CRNA)'s specialty?
The listing groups KATHLEEN S GINN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does KATHLEEN S GINN (CRNA) serve?
KATHLEEN S GINN (CRNA)'s listing highlights Jackson, Michigan; more addresses can appear in NPPES.
Is the information about KATHLEEN S GINN (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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