1. Home
  2. Directory
  3. Massachusetts
  4. Dartmouth
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

KIM ELLEN WALECKA I CRNA
NPI 1053397414
Nurse Anesthetist, Certified Registered in Dartmouth, MA

Active since December 19, 2005PECOS Enrolled
228 OLD WESTPORT RD, DARTMOUTH, MA 02747(774) 202-5729 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim Ellen Walecka I Crna NPPES

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

KIM ELLEN WALECKA I CRNA (NPI 1053397414) is an individual nurse anesthetist, certified registered in Dartmouth, Massachusetts, licensed in Massachusetts (216893) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053397414
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIM ELLEN WALECKA ICredential: CRNA
Location Address228 OLD WESTPORT RDDartmouth, MA 02747-2353
Mailing Address228 Old Westport RdDartmouth, MA 02747-2353 · (774) 202-5729 · Fax (508) 648-1571
Phone(774) 202-5729
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 19, 2005
Last NPPES UpdateOctober 12, 2011
✔ NPI 1053397414 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 MA · 216893
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.
228 OLD WESTPORT RD, Dartmouth, MA 02747
Open in Google Maps ↗

Other Names 1

Former Name (1)Kim Ellen Derossi Crna

Other Identifiers 2

Medicare ID-Type UnspecifiedNA0974MA
Medicare UPINP63013MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Ellen Walecka I Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517996762
PECOS Enrollment IDI20050808000707
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kim Walecka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Professionals, Inc.
0.9 mi
Nurse Anesthetist, Certified Registered
78 FAUNCE CORNER RD UNIT 560
Dartmouth, MA 02747
  • Reassigned Medicare billing, Massachusetts enrollment
  • 79 clinicians in this Medicare group
NPI 1659346443 (888) 209-0305
Steward Medical Group, Inc
9.2 mi
Anesthesiology
795 MIDDLE ST
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1629398219 (Massachusetts)
  • 347 clinicians in this Medicare group
NPI 1043711914 (508) 674-5600
Lifespan Physician Group Of Massachusetts Inc
23 mi
Family Medicine
2007 BAY ST
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 547 clinicians in this Medicare group
NPI 1235957713 (774) 409-2009
Narragansett Bay Anesthesia, LLC
25 mi
Anesthesiology
455 TOLL GATE RD
Warwick, RI 02886
  • Reassigned Medicare billing, Massachusetts enrollment
  • 80 clinicians in this Medicare group
NPI 1861445728 (781) 915-0214

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
43 services43 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
29 services29 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
16 services16 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%40 patients5/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%40 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Kim Walecka's NPI number?

The NPI number for Kim Walecka is 1053397414. It was assigned to this individual provider in the NPPES registry on December 19, 2005. The provider is also known as Kim Ellen Derossi Crna.

Where is Kim Walecka located?

Kim Walecka practices at 228 Old Westport Rd, Dartmouth, MA 02747. The listed phone number is (774) 202-5729.

What is Kim Walecka's specialty?

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

Is Kim Walecka enrolled in Medicare?

Yes. Kim Walecka is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kim Walecka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Walecka reassigns Medicare benefits to 4 organizations: Anesthesia Professionals, Inc. (Dartmouth, MA), Steward Medical Group, Inc (Fall River, MA), Lifespan Physician Group Of Massachusetts Inc (Taunton, MA) and Narragansett Bay Anesthesia, LLC (Warwick, RI). Each 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 Kim Walecka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kim Walecka affiliated with any hospitals?

According to CMS data, Kim Walecka is affiliated with Saint Anne's Hospital.

When was this NPI record last updated?

The NPPES record for Kim Walecka was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.