Kaley Irene Dittemore
NPI 1790633493ActiveIndividual· Nurse Anesthetist, Certified Registered· Saint Joseph, MO
Nurse Anesthetist, Certified Registered with Heartland Regional Medical Center, practicing in Saint Joseph, Missouri. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Mosaic Life Care at St Joseph as a hospital affiliation.
Overview
| NPI | 1790633493 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 18, 2026 |
| Last updated in NPPES | Jun 12, 2026 |
| Certified by provider | Jun 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 2026022471 | MO |
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 Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MO) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Heartland Regional Medical CenterSt Joseph, MO · 394 clinicians
Hospital affiliation
- Mosaic Life Care at St JosephSaint Joseph, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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