MR. KENNETH DEWEY CHILDERS JR. C.R.N.A.
NPI 1386937993
Nurse Anesthetist, Certified Registered in San Francisco, CA
About Mr. Kenneth Dewey Childers Jr. C.r.n.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH DEWEY CHILDERS JR. C.R.N.A. (NPI 1386937993) is an individual nurse anesthetist, certified registered in San Francisco, California, licensed in California (585519) and active in the NPI registry since May 2011. He is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Kenneth Dewey Childers Jr. C.r.n.a. 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
7Medicare enrollment records show Kenneth Childers reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Castro Valley, CA 94546
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
Redding, CA 96001
- Reassigned Medicare billing, California enrollment
- 32 clinicians in this Medicare group
Weaverville, CA 96093
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1407027568 (California)
- 119 clinicians in this Medicare group
Fall River Mills, CA 96028
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Alturas, CA 96101
- Reassigned Medicare billing, California enrollment
- 52 clinicians in this Medicare group
Crescent City, CA 95531
- Reassigned Medicare billing, California enrollment
- 134 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94127 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94127
SAN FRANCISCO, CA 94127
SAN FRANCISCO, CA 94127
SAN FRANCISCO, CA 94127
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 Kenneth Childers's NPI number?
The NPI number for Kenneth Childers is 1386937993. It was assigned to this individual provider in the NPPES registry on May 16, 2011.
Where is Kenneth Childers located?
Kenneth Childers practices at 99 W Portal Ave, San Francisco, CA 94127. The listed phone number is (600) 641-5661.
What is Kenneth Childers's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kenneth Childers enrolled in Medicare?
Yes. Kenneth Childers 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 Kenneth Childers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Childers reassigns Medicare benefits to 7 organizations: Sedaze Anesthesia Consultants A Professional Nursing Corporation (Castro Valley, CA), Anesthesia Management Services Of California Inc (Ukiah, CA), In Somno Securitas A Professional Nursing Corporation (Redding, CA), Mountain Communities Healthcare District (Weaverville, CA), Mayers Memorial Hospital District (Fall River Mills, CA) and 2 more organizations, listed in the Medicare section above. 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 Kenneth Childers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Childers was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Kenneth Dewey Childers Jr., C.R.N.A. · NPI 1386937993
Nurse Anesthetist, Certified Registered physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since May 16, 2011.
## Identity
- **NPI:** 1386937993 (Entity type: Individual)
- **Enumerated:** May 16, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 585519 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 99 W PORTAL AVE, San Francisco, CA 94127-1303
- **Phone:** (600) 641-5661
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Sedaze Anesthesia Consultants A Professional Nursing Corporation (NPI 1366209629, Castro Valley, CA); Anesthesia Management Services Of California Inc (NPI 1003458704, Ukiah, CA); In Somno Securitas A Professional Nursing Corporation (NPI 1114686631, Redding, CA); Mountain Communities Healthcare District (NPI 1750462271, Weaverville, CA); Mayers Memorial Hospital District (NPI 1912125667, Fall River Mills, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386937993) · Data from the CMS NPPES public registry.