KIMBERLY NICOLE STANFORD CRNA
NPI 1083991285
Nurse Anesthetist, Certified Registered in Melrose Park, IL

Active since November 16, 2011Accepts Medicare Assignment
701 W NORTH AVE, ANESTHESIA DEPARTMENT, MELROSE PARK, IL 60160(708) 681-7859 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Nicole Stanford Crna NPPES

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

KIMBERLY NICOLE STANFORD CRNA (NPI 1083991285) is an individual nurse anesthetist, certified registered in Melrose Park, Illinois, licensed in Illinois (209009397) and active in the NPI registry since November 2011. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1083991285
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIMBERLY NICOLE STANFORDCredential: CRNA
Location Address701 W NORTH AVE, ANESTHESIA DEPARTMENTMelrose Park, IL 60160-1612
Mailing Address6626 S Kimbark Ave, Unit 1nChicago, IL 60637-4488 · (708) 710-7784
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 16, 2011
Last NPPES UpdateApril 20, 2022
NPPES CertifiedApril 20, 2022
NPI 1083991285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IL · 209009397
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.

Also ListedNurse PractitionerTaxonomy 363L00000X · License 041347741 (IL)
701 W NORTH AVE, Melrose Park, IL 60160

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Nicole Stanford Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325207277
PECOS Enrollment IDI20120312000866

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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
701 W NORTH AVE
MELROSE PARK, IL 60160
Nurse Practitioner (Family)
701 W NORTH AVE
MELROSE PARK, IL 60160
Case Manager/Care Coordinator
701 W NORTH AVE
MELROSE PARK, IL 60160
Clinic/Center (Adult Day Care)
701 W NORTH AVE
MELROSE PARK, IL 60160
Emergency Medicine
701 W NORTH AVE
MELROSE PARK, IL 60160
Occupational Therapist
701 W NORTH AVE
MELROSE PARK, IL 60160
Psychologist (Clinical)
701 W NORTH AVE
MELROSE PARK, IL 60160
Nurse Anesthetist, Certified Registered
701 W NORTH AVE
MELROSE PARK, IL 60160

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 Kimberly Stanford's NPI number?

The NPI number for Kimberly Stanford is 1083991285. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Where is Kimberly Stanford located?

Kimberly Stanford practices at 701 W North Ave Anesthesia Department, Melrose Park, IL 60160. The listed phone number is (708) 681-7859.

What is Kimberly Stanford's specialty?

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

Is Kimberly Stanford enrolled in Medicare?

Yes. Kimberly Stanford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Stanford was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.