Ks Tko Anesthesia
NPI 1023813797ActiveOrganization· Nurse Anesthetist, Certified Registered· Fort Wayne, IN
Nurse Anesthetist, Certified Registered in Fort Wayne, Indiana, registered in NPPES in February 2025. The authorized official on file is Kendra Smith, CRNA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023813797 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2025 |
| Last updated in NPPES | Feb 17, 2025 |
| Certified by provider | Feb 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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