Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXA DOROTHY KIMBALL CRNA
NPI 1457099707
Nurse Anesthetist, Certified Registered in Clackamas, OR

Q: What is Alexa Kimball's NPI number?

The NPI number for Alexa Kimball is 1457099707. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Q: What is Alexa Kimball's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexa Kimball was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since May 26, 2022

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Aug 10, 2022, May 26, 2022 (3 updates tracked since 2022).

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About Alexa Dorothy Kimball Crna NPPES

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

ALEXA DOROTHY KIMBALL CRNA (NPI 1457099707) is an individual nurse anesthetist, certified registered in Clackamas, Oregon, licensed in Oregon (10056028) and active in the NPI registry since May 2022. She is affiliated with Prisma Health Greer Memorial Hospital, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457099707

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameALEXA DOROTHY KIMBALLCredential: CRNA

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2099 · (800) 813-2000

Phone(800) 813-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 26, 2022

Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1457099707 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 OR · 10056028

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.

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Secondary Practice Locations 2

Location 1701 Grove RdGreenville, SC 29605-4210 · Phone (864) 455-7000

Location 27 Independence Pt Ste 300Greenville, SC 29615-4569 · Phone (864) 522-3700 · Fax (864) 522-3705

Other Identifiers 1

MedicaidPENDINGSC

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

Alexa Dorothy Kimball 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 ID840674842

PECOS Enrollment IDI20220824003350

Areas of Expertise CMS Part B claims

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 x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Greer Memorial Hospital

Acute Care Hospitals · Spartanburg, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420033

Location1413 John B White Sr Blvd Suite DSpartanburg, SC 29306 · Spartanburg County

Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

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.

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology