KSENIYA LUZ CRNA
NPI 1457029605
Nurse Anesthetist, Certified Registered in Oklahoma City, OK

Active since September 02, 2021Accepts Medicare Assignment
96.93/100
CMS Quality Rating
3100 SW 89TH ST, OKLAHOMA CITY, OK 73159(405) 602-8100 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kseniya Luz Crna NPPES

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

KSENIYA LUZ CRNA (NPI 1457029605) is an individual nurse anesthetist, certified registered in Oklahoma City, Oklahoma, licensed in Oklahoma (205319) and active in the NPI registry since September 2021. She is affiliated with Ssm Health St Anthony Hospital - Shawnee, maintains a secondary practice location in Port Jefferson, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457029605
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKSENIYA LUZCredential: CRNA
Location Address3100 SW 89TH STOklahoma City, OK 73159-7900
Mailing Address1940 S Woodlawn Blvd Apt 203Wichita, KS 67218-4747 · (617) 970-0519
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 2, 2021
NPPES CertifiedAugust 27, 2021
NPI 1457029605 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 OK · 205319
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.

3100 SW 89TH ST, Oklahoma City, OK 73159

Secondary Practice Location 1

Location 1200 Belle Terre RdPort Jefferson, NY 11777-1928 · Phone (631) 474-6000

Accepted Insurance

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

Kseniya Luz 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.

PECOS PAC ID5991103640
PECOS Enrollment IDI20211011000144

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
16 services16 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
14 services14 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73159 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.42
Promoting Interoperability100
Improvement Activities40
Cost99.31

Other Providers at the Same Location NPPES 16

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

Social Worker
3100 SW 89TH ST
OKLAHOMA CITY, OK 73159
Physical Therapist
3100 SW 89TH ST
OKLAHOMA CITY, OK 73159
Clinic/Center (Sleep Disorder Diagnostic)
3100 SW 89TH ST
OKLAHOMA CITY, OK 73159
Physician Assistant
3100 SW 89TH ST
OKLAHOMA CITY, OK 73159
Anesthesiology
3100 SW 89TH ST
OKLAHOMA CITY, OK 73159
Anesthesiology
3100 SW 89TH ST
OKLAHOMA CITY, OK 73159
Internal Medicine (Critical Care Medicine)
3100 SW 89TH ST
OKLAHOMA CITY, OK 73159
Nurse Anesthetist, Certified Registered
3100 SW 89TH ST
OKLAHOMA CITY, OK 73159

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457029605, enumerated as an "individual" on September 02, 2021.

The provider is located at 3100 SW 89TH ST OKLAHOMA CITY, OK 73159 and the phone number is (405) 602-8100.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.

Kseniya Luz is affiliated with: SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE.