MS. MARY KATHERINE KINWORTHY CRNA
NPI 1003272642
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since January 12, 2016
79.29/100
CMS Quality Rating
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63141(800) 862-9980(314) 362-1185 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2016).

About Ms. Mary Katherine Kinworthy Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY KATHERINE KINWORTHY CRNA (NPI 1003272642) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2018003033) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1003272642
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. MARY KATHERINE KINWORTHYCredential: CRNA
Location Address12634 OLIVE BLVD, DEPT ANESTHESIOLOGYSaint Louis, MO 63141-6337
Mailing AddressPo Box 60352Saint Louis, MO 63160-0352 · (800) 862-9980 · Fax (314) 362-1185
Fax(314) 362-1185
Sole ProprietorNo
Enumeration DateJanuary 12, 2016
Last NPPES UpdateApril 25, 20245 updates tracked since enumeration
NPI 1003272642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MO · 2018003033
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
12634 OLIVE BLVD, Saint Louis, MO 63141

Other Identifiers 1

Medicaid910051453MO

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Anesthesiology
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Registered Nurse (Registered Nurse First Assistant)
12634 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD
SAINT LOUIS, MO 63141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kinworthy's NPI number?

The NPI number for Mary Kinworthy is 1003272642. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Where is Mary Kinworthy located?

Mary Kinworthy practices at 12634 Olive Blvd Dept Anesthesiology, Saint Louis, MO 63141. The listed phone number is (800) 862-9980.

What is Mary Kinworthy's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Mary Kinworthy was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.