KIMBERLY A SLATTERY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255512687

KIMBERLY A SLATTERY (CRNA) is a healthcare provider. based in Bryan, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 275603 (AZ). The NPI Number for KIMBERLY A SLATTERY (CRNA) is 1255512687

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A SLATTERY (CRNA)
NPI
1255512687
Phone
(419) 636-4517
Address
442 W HIGH ST
Enumeration Date
14 November 2007
Last Update Date
29 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2606652141
Graduation Year
2007 (19 years ago)
PAC ID
6305928037
Group Practice PAC ID
9234020835
Professional Enrollment ID
I20150204001047
Address ID
IN467032015AN416XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

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Provider Addresses for KIMBERLY A SLATTERY (CRNA)

  • Parkview Physicians Group, 442, West High Street, Bryan Downtown Historic District, Bryan, Pulaski, Williams County, Ohio, 43506, United States

    BRYAN, OH 435061681

    Phone: (419) 636-4517

    Fax: (419) 636-6438

    Type: Mailing

  • 5734, Coventry Lane, Liberty Hills, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 468047141

    Phone: (260) 436-7875

    Fax: (260) 432-9812

    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: 2022-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080205000047ICertified Registered Nurse Anesthetist (Crna)OHTBD
I20150204001047ICertified Registered Nurse Anesthetist (Crna)INTBD
I20220712002948ICertified Registered Nurse Anesthetist (Crna)AZTBD

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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2524$0
01402Anesthesia for procedure for total knee joint replacement2423$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2222$0
01214Anesthesia for total hip replacement1212$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 43506)

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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: 9234020835View full group profile
NameSpecialtyState
Nurse PractitionerIN
Family PracticeIN
Certified Registered Nurse Anesthetist (Crna)IN
Psychiatry, Geriatric PsychiatryIN
General SurgeryIN
Certified Registered Nurse Anesthetist (Crna)IN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
-OH

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Frequently asked questions

How do I look up KIMBERLY A SLATTERY (CRNA) by NPI?
Use NPI 1255512687 when you need to reference KIMBERLY A SLATTERY (CRNA) in forms, claims, or directories.
Does this profile mean KIMBERLY A SLATTERY (CRNA) is currently active?
Yes — KIMBERLY A SLATTERY (CRNA) appears active in the national provider directory.
What does KIMBERLY A SLATTERY (CRNA) treat or focus on?
Patients typically see KIMBERLY A SLATTERY (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY A SLATTERY (CRNA)'s primary listing?
We display Bryan, Ohio because that is what the record indicates for KIMBERLY A SLATTERY (CRNA).
How can I contact KIMBERLY A SLATTERY (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.