KIMBERLY BLAINE PENNINGTON CRNA
NPI 1508160490
Nurse Anesthetist, Certified Registered in Louisville, KY

Active since January 06, 2011PECOS EnrolledAccepts Medicare Assignment
83.16/100
CMS Quality Rating
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 636-7111 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Blaine Pennington Crna NPPES

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

KIMBERLY BLAINE PENNINGTON CRNA (NPI 1508160490) is an individual nurse anesthetist, certified registered in Louisville, Kentucky, licensed in Kentucky (3006804) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1508160490
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIMBERLY BLAINE PENNINGTONCredential: CRNA
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing Address425 Lewis Hargett CirLexington, KY 40503-3590 · (859) 268-1030 · Fax (859) 269-4120
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 6, 2011
Last NPPES UpdateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1508160490 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 KY · 3006804
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.
1 AUDUBON PLAZA DR, Louisville, KY 40217

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

Kimberly Blaine Pennington 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 ID5294915823
PECOS Enrollment IDI20110214000700
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Kimberly Pennington reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1 AUDUBON PLAZA DR
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 175 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1169 EASTERN PKWY, SUITE G58
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 36 clinicians in this Medicare group
Anesthesiology
200 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 526 clinicians in this Medicare group
Anesthesiology
200 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 130 clinicians in this Medicare group
Anesthesiology
360 MISSOURI AVE, BLDG 19A, SUITE 102
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana enrollment
  • 48 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3135 MIDDLE RD
Columbus, IN 47203
  • Reassigned Medicare billing, Kentucky enrollment
  • 40 clinicians in this Medicare group
Anesthesiology
150 N EAGLE CREEK DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 462 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Indiana enrollment
  • 287 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 157 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.

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

83.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.19
Improvement Activities40

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.

Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
General Practice
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Nurse Anesthetist, Certified Registered
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217

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 Kimberly Pennington's NPI number?

The NPI number for Kimberly Pennington is 1508160490. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Where is Kimberly Pennington located?

Kimberly Pennington practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 636-7111.

What is Kimberly Pennington's specialty?

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

Is Kimberly Pennington enrolled in Medicare?

Yes. Kimberly Pennington 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 Kimberly Pennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Pennington reassigns Medicare benefits to 9 organizations: Anesthesiology Consultants Enterprises, PLLC (Louisville, KY), Lec Ancillary PLLC (Louisville, KY), Professional Anesthesia Services Of Kentucky PLLC (Louisville, KY), Universal Anesthesia Services LLC (Louisville, KY), Ema Anesthesia, Psc (Jeffersonville, IN) and 4 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 Kimberly Pennington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Pennington affiliated with any hospitals?

According to CMS data, Kimberly Pennington is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kimberly Pennington was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.