WHITLEY HARBISON KLOEBLEN
NPI 1205763687
Nurse Anesthetist, Certified Registered in Flagstaff, AZ

Active since May 07, 2026
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 779-3366 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Whitley Harbison Kloeblen NPPES

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

WHITLEY HARBISON KLOEBLEN (NPI 1205763687) is an individual nurse anesthetist, certified registered in Flagstaff, Arizona, licensed in Pennsylvania (RN781822) and active in the NPI registry since May 2026. She is a graduate of Drexel University College Of Medicine (2026).

NPPES Registry Identity

NPI1205763687
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameWHITLEY HARBISON KLOEBLEN
Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 779-3366
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2026
Enumeration DateMay 7, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1205763687 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 PA · RN781822
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.
1200 N BEAVER ST, Flagstaff, AZ 86001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitley Harbison Kloeblen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557820701
PECOS Enrollment IDI20260827002756

Medicare Billing Reassignment

Medicare enrollment records show Whitley Kloeblen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 552 clinicians in this Medicare group

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

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.

Anesthesiology
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001

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 Whitley Kloeblen's NPI number?

The NPI number for Whitley Kloeblen is 1205763687. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Where is Whitley Kloeblen located?

Whitley Kloeblen practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 779-3366.

What is Whitley Kloeblen's specialty?

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

Is Whitley Kloeblen enrolled in Medicare?

Yes. Whitley Kloeblen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Whitley Kloeblen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitley Kloeblen reassigns Medicare benefits to Northern Arizona Healthcare Corporation (Flagstaff, AZ). The 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 Whitley Kloeblen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Whitley Kloeblen accept?

Health plans from Cigna HealthCare of Arizona, Inc list Whitley Kloeblen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Whitley Kloeblen was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.