WESLEY W KINNEY (M.D.) – Anesthesiology Physician, NPI 1811965924

WESLEY W KINNEY (M.D.) is a healthcare provider. based in Norfolk, Nebraska. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 15117 (NE). The NPI Number for WESLEY W KINNEY (M.D.) is 1811965924

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
WESLEY W KINNEY (M.D.)
NPI
1811965924
Phone
(402) 844-3654
Address
1202 TARA HEIGHTS DR
Enumeration Date
14 March 2006
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146870001
Graduation Year
1977 (49 years ago)
PAC ID
9234152927
Group Practice PAC ID
0042630501
Professional Enrollment ID
I20220713002443
Address ID
TX784111820CO3315XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

340 ANESTHESIOLOGY in NE

Provider Addresses for WESLEY W KINNEY (M.D.)

  • 1202 TARA HEIGHTS DR

    NORFOLK, NE 687013050

    Phone: (402) 844-3654

    Fax: (308) 382-7744

    Type: Mailing

  • 3400 W Norfolk Ave

    Norfolk, NE 687017701

    Phone: (402) 844-3654

    Fax: (308) 382-7744

    Type: Location

  • 12222 MERIT DR STE 600

    DALLAS, TX 752513294

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Location

  • 3400, West Norfolk Avenue, Norfolk, Madison County, Nebraska, 68701, United States

    NORFOLK, NE 687017701

    Phone: (402) 844-3654

    Fax: (308) 382-7744

    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: 2022-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20120209000050IAnesthesiologyNETBD
I20161003001172IAnesthesiologyMTTBD
I20211207000244IAnesthesiologyTNTBD
I20220713002443IAnesthesiologyTXTBD

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 68701)

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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: 0042630501View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for WESLEY W KINNEY (M.D.)?
WESLEY W KINNEY (M.D.) — NPI 1811965924 — is the standard way to identify this listing.
Can I rely on WESLEY W KINNEY (M.D.) being an active provider?
As of the registry snapshot, WESLEY W KINNEY (M.D.) is marked active.
What taxonomy line describes WESLEY W KINNEY (M.D.)?
For research purposes, treat WESLEY W KINNEY (M.D.) as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does WESLEY W KINNEY (M.D.) list a practice location?
Patients near Norfolk, Nebraska may find WESLEY W KINNEY (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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