KALEB M. KILLENS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003677337

KALEB M. KILLENS (CRNA) is a healthcare provider. based in Poplarville, Mississippi. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 901888 (MS). The NPI Number for KALEB M. KILLENS (CRNA) is 1003677337

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
KALEB M. KILLENS (CRNA)
NPI
1003677337
Phone
Not provided
Address
84 B A KINCAID RD
Enumeration Date
23 January 2024
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9858984583
Graduation Year
2023 (3 years ago)
PAC ID
1355787268
Group Practice PAC ID
0749255909
Professional Enrollment ID
I20240314001298
Address ID
LA704332330CO1202XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,619 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in LA

Provider Addresses for KALEB M. KILLENS (CRNA)

  • 84 B A KINCAID RD

    POPLARVILLE, MS 394709790

    Phone:

    Type: Mailing

  • 67252 INDUSTRY LN

    COVINGTON, LA 704338704

    Phone: (985) 809-9888

    Type: Location

  • 67252 Industry Ln

    Covington, LA 704338704

    Phone: (985) 809-9888

    Type: Location

  • 5959 S SHERWOOD FOREST BLVD

    BATON ROUGE, LA 708166038

    Phone: (985) 730-6700

    Fax: (225) 765-9196

    Type: Mailing

  • 433 PLAZA ST

    BOGALUSA, LA 704273729

    Phone: (985) 730-6700

    Fax: (985) 730-6713

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-03-14

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
I20240314001298ICertified Registered Nurse Anesthetist (Crna)LATBD

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 39470)

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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: 0749255909View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
A N E S T H E S I O L O G YLA
A N E S T H E S I O L O G YLA
A N E S T H E S I O L O G YLA

Reviews

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Frequently asked questions

What federal number belongs to KALEB M. KILLENS (CRNA)?
The federal identifier for KALEB M. KILLENS (CRNA) is NPI 1003677337.
Is KALEB M. KILLENS (CRNA) currently active in the NPI registry?
CMS-published data lists KALEB M. KILLENS (CRNA) as an active registrant.
What field does KALEB M. KILLENS (CRNA) work in?
You can think of KALEB M. KILLENS (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place KALEB M. KILLENS (CRNA)?
The snapshot lists Poplarville, Mississippi for KALEB M. KILLENS (CRNA); download NPPES for the complete set.
Is KALEB M. KILLENS (CRNA) a real provider?
This page reflects official NPPES data for NPI 1003677337. Always confirm identity and privileges with the practice and licensing boards.

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