PHILIP JAKE KILLGORE CRNA
NPI 1295280436
Nurse Anesthetist, Certified Registered in Minden, LA
About Philip Jake Killgore Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP JAKE KILLGORE CRNA (NPI 1295280436) is an individual nurse anesthetist, certified registered in Minden, Louisiana, licensed in Louisiana (205140) and active in the NPI registry since August 2016. He is affiliated with Minden Medical Center and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Philip Jake Killgore 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.
Medicare Billing Reassignments
4Medicare enrollment records show Philip Killgore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minden, LA 71055
- Reassigned Medicare billing, Louisiana enrollment
- 11 clinicians in this Medicare group
Shreveport, LA 71106
- Reassigned Medicare billing, Louisiana enrollment
- 25 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 32 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Louisiana enrollment
- 29 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Minden Medical Center
Acute Care Hospitals · Minden, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINDEN, LA 71055
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 Philip Killgore's NPI number?
The NPI number for Philip Killgore is 1295280436. It was assigned to this individual provider in the NPPES registry on August 17, 2016.
Where is Philip Killgore located?
Philip Killgore practices at 1 Medical Plaza Pl, Minden, LA 71055. The listed phone number is (318) 377-2321.
What is Philip Killgore's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Philip Killgore enrolled in Medicare?
Yes. Philip Killgore 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.
Which organizations bill Medicare for Philip Killgore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Killgore reassigns Medicare benefits to 4 organizations: Minden Anesthesia LLC (Minden, LA), Tandem Anesthesia LLC (Shreveport, LA), Shreveport Sedation Associates LLC (Shreveport, LA) and Anesthesia Dynamics LLC (Bradenton, FL). 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 Philip Killgore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Killgore accept?
Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Philip Killgore 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.
Is Philip Killgore affiliated with any hospitals?
According to CMS data, Philip Killgore is affiliated with Minden Medical Center.
When was this NPI record last updated?
The NPPES record for Philip Killgore was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Philip Jake Killgore, CRNA · NPI 1295280436
Nurse Anesthetist, Certified Registered physician in Minden, Louisiana. Individual provider, active in the CMS NPPES registry since August 17, 2016.
## Identity
- **NPI:** 1295280436 (Entity type: Individual)
- **Enumerated:** August 17, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 205140 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL PLAZA PL, Minden, LA 71055-3330
- **Phone:** (318) 377-2321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Minden Anesthesia LLC (NPI 1710456736, Minden, LA); Tandem Anesthesia LLC (NPI 1356453583, Shreveport, LA); Shreveport Sedation Associates LLC (NPI 1770083164, Shreveport, LA); Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1295280436) · Data from the CMS NPPES public registry.