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TIMOTHY E KINKADE CRNA
NPI 1417902909
Nurse Anesthetist, Certified Registered in Pella, IA

Active since May 23, 2006
404 JEFFERSON ST, PELLA, IA 50219(641) 628-6634(913) 381-0979 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy E Kinkade Crna NPPES

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

TIMOTHY E KINKADE CRNA (NPI 1417902909) is an individual nurse anesthetist, certified registered in Pella, Iowa, licensed in Iowa (058017) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1417902909
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY E KINKADECredential: CRNA
Location Address404 JEFFERSON STPella, IA 50219-1257
Mailing Address8900 Indian Creek Pkwy, Suite 500Overland Park, KS 66210-1554 · (913) 642-4900 · Fax (913) 381-0979
Phone(641) 628-6634
Fax(913) 381-0979
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 2, 2012
✔ NPI 1417902909 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 IA · 058017
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.
404 JEFFERSON ST, Pella, IA 50219
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Other Identifiers 4

Medicare UPINR04386
Medicare PINP00429674IA
Medicaid3265819IA
Medicare PINI19306IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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.

JOHN LABERNIK DNP, CRNA
Nurse Anesthetist, Certified Registered
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
MARY ELIZABETH PHILLIPS DIETITIAN
Dietitian, Registered
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
ANESTHESIA IOWA PLC
Anesthesiology
404 JEFFERSON ST
PELLA, IA 50219
Marion County (913) 342-4900
MRS. KIMBERLY KAY PICKETT LISW
Social Worker (Clinical)
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
JANA BETH VINK LMSW
Social Worker
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
JENNA KAY ZOSS PA-C
Physician Assistant
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 621-2200
DR. MINDI JO JORGENSON PHARMD
Pharmacist
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-6616
DR. ALISON JEAN SMITH D.O.
Radiology (Diagnostic Radiology)
404 JEFFERSON ST, MEDICAL IMAGING DEPARTMENT
PELLA, IA 50219
Marion County (641) 628-6622

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 Timothy Kinkade's NPI number?

The NPI number for Timothy Kinkade is 1417902909. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Timothy Kinkade located?

Timothy Kinkade practices at 404 Jefferson St, Pella, IA 50219. The listed phone number is (641) 628-6634.

What is Timothy Kinkade's specialty?

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

What insurance does Timothy Kinkade accept?

Health plans from Medica list Timothy Kinkade 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 Timothy Kinkade was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.