1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

KS TKO ANESTHESIA
NPI 1023813797
Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Active since February 17, 2025
1721 MAGNAVOX WAY STE A, FORT WAYNE, IN 46804(260) 250-0001 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ks Tko Anesthesia NPPES

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

KS TKO ANESTHESIA (NPI 1023813797) is a healthcare organization registered as a nurse anesthetist, certified registered in Fort Wayne, Indiana and active in the NPI registry since February 2025. The organization lists Kendra Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023813797
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameKS TKO ANESTHESIA
Location Address1721 MAGNAVOX WAY STE AFort Wayne, IN 46804-1537
Mailing Address5716 W 400 SHuntington, IN 46750-9135 · (208) 681-8157
Phone(260) 250-0001
Organization SubpartNo
Authorized OfficialKendra SmithCeo · (208) 681-8157
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1023813797 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
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.
1721 MAGNAVOX WAY STE A, Fort Wayne, IN 46804
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ks Tko Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ks Tko Anesthesia, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Christy Brown, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194973420
5734 COVENTRY LN
Fort Wayne, IN 46804
(260) 436-7875
3.2 mi
Kendra Smith, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952873648
441 N WABASH AVE
Marion, IN 46952
(765) 660-6000
✔ Accepts Medicare42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ks Tko Anesthesia's NPI number?

The NPI number for Ks Tko Anesthesia is 1023813797. It was assigned to this organization in the NPPES registry on February 17, 2025.

Where is Ks Tko Anesthesia located?

Ks Tko Anesthesia is located at 1721 Magnavox Way Ste A, Fort Wayne, IN 46804. The listed phone number is (260) 250-0001.

What is Ks Tko Anesthesia's specialty?

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

Is Ks Tko Anesthesia enrolled in Medicare?

Yes. Ks Tko Anesthesia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ks Tko Anesthesia?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Ks Tko Anesthesia. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ks Tko Anesthesia was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.