MR. KENNETH DEWEY CHILDERS JR. C.R.N.A.
NPI 1386937993
Nurse Anesthetist, Certified Registered in San Francisco, CA

Active since May 16, 2011Accepts Medicare Assignment
99 W PORTAL AVE, SAN FRANCISCO, CA 94127(600) 641-5661 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1386937993
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. KENNETH DEWEY CHILDERS JR.Credential: C.R.N.A.
Location Address99 W PORTAL AVESan Francisco, CA 94127-1303
Mailing Address1314 22nd Ave Unit 22070San Francisco, CA 94122-1650 · (415) 290-1884
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 16, 2011
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1386937993 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 CA · 585519
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.
99 W PORTAL AVE, San Francisco, CA 94127

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

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.

PECOS PAC ID8820260482
PECOS Enrollment IDI20111004000738

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
237 services231 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
11 services11 patients

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.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
99 W PORTAL AVE
SAN FRANCISCO, CA 94127
Dentist (Oral and Maxillofacial Surgery)
99 W PORTAL AVE
SAN FRANCISCO, CA 94127
Dentist (Oral and Maxillofacial Pathology)
99 W PORTAL AVE
SAN FRANCISCO, CA 94127
Dentist (Oral and Maxillofacial Surgery)
99 W PORTAL AVE
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.

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 11 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.