STEPHEN KITZMILLER – Certified Registered Nurse Anesthetist, NPI 1205166212

STEPHEN KITZMILLER is a healthcare provider. based in Youngstown, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN318034COA1 (OH). The NPI Number for STEPHEN KITZMILLER is 1205166212

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN KITZMILLER
NPI
1205166212
Phone
(330) 480-3658
Address
1044 BELMONT AVE
Enumeration Date
14 January 2010
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303997215
Graduation Year
2009 (17 years ago)
PAC ID
6800801978
Group Practice PAC ID
3274429477
Professional Enrollment ID
I20100208000304
Address ID
OH444836613WA1622XSTXX400

Contacts

Secure Messaging
upmchospitals@upmcdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for STEPHEN KITZMILLER

  • Park & North, 1044, Belmont Avenue, North Side, Youngstown, Mahoning County, Ohio, 44501, United States

    YOUNGSTOWN, OH 445041006

    Phone: (330) 480-3658

    Type: Location

  • 4135, Boardman Canfield Road, Saint Andrews, Starrs Corners, Mahoning County, Ohio, 44406, United States

    SUITE 1

    CANFIELD, OH 444069803

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $403.

Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($217).

Total Amount

$403

General + Research + Ownership

Payments

20

Total payment records

General Amount

$403

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2010-10-05

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

2

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
I20100208000304ICertified Registered Nurse Anesthetist (Crna)OHTBD
I20101005000579ICertified Registered Nurse Anesthetist (Crna)PATBD

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
00812Anesthesia for exam of colon using an endoscope6767$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5252$0
00811Anesthesia for other procedure on large bowel using an endoscope4343$0
00813Anesthesia for procedure on small and large bowel using an endoscope1919$0
View full utilization report →

Insurance plans in this area (ZIP 44504)

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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: 3274429477View full group profile
NameSpecialtyState
Nurse PractitionerOH
G A S T R O E N T E R O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Nurse PractitionerOH
Internal MedicineKY
P A T H O L O G YOH
Nurse PractitionerOH
Physician AssistantOH
G A S T R O E N T E R O L O G YOH
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHEN KITZMILLER?
STEPHEN KITZMILLER — NPI 1205166212 — is the standard way to identify this listing.
Can I rely on STEPHEN KITZMILLER being an active provider?
As of the registry snapshot, STEPHEN KITZMILLER is marked active.
What is STEPHEN KITZMILLER's specialty?
The listing groups STEPHEN KITZMILLER with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHEN KITZMILLER?
STEPHEN KITZMILLER's geographic hint is Youngstown, Ohio in our summary view.
Why does STEPHEN KITZMILLER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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