KIMBERLY S KING CRNA
NPI 1518921964
Nurse Anesthetist, Certified Registered in Fairfield, IL

Q: What is Kimberly King's NPI number?

The NPI number for Kimberly King is 1518921964. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Kimberly King'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 Kimberly King was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment

303 NW 11TH ST, FAIRFIELD, IL 62837(618) 842-2611(618) 847-8360 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2025, Jun 25, 2018 (2 updates tracked since 2018).

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About Kimberly S King Crna NPPES

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

KIMBERLY S KING CRNA (NPI 1518921964) is an individual nurse anesthetist, certified registered in Fairfield, Illinois, licensed in Oregon (201802897CRNA) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1518921964

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKIMBERLY S KINGCredential: CRNA

Location Address303 NW 11TH STFairfield, IL 62837-1206

Mailing Address303 Nw 11th StFairfield, IL 62837-1206 · (618) 842-2611 · Fax (618) 847-8360

Phone(618) 842-2611

Fax(618) 847-8360

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 13, 2006

Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1518921964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in OR · 201802897CRNA✔ Licensed in KS · 55479

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 55479 (KS)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 209-007060 (IL)

303 NW 11TH ST, Fairfield, IL 62837

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Other Identifiers 2

Medicaid200363250AKS

Medicaid500743849OR

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 S King 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 ID7719993021

PECOS Enrollment IDI20080530000421

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

Medicare enrollment records show Kimberly King reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairfield Memorial Hospital Association

Same address

Critical Access

303 NW 11TH ST
Fairfield, IL 62837

Reassigned Medicare billing, Illinois enrollment
41 clinicians in this Medicare group

NPI 1255422416 (618) 847-8260

Richland Memorial Hospital, Inc.

22 mi

Rural Health

100 S MAIN ST
West Salem, IL 62476

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1467492124 (Illinois)
301 clinicians in this Medicare group

NPI 1922475037 (618) 456-3727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

242 services113 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

98 services73 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

37 services27 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

32 services27 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

26 services17 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

23 services14 patients

Hospital Affiliations CMS Care Compare

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

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141311

Location303 N W 11th StreetFairfield, IL 62837 · Wayne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62837 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 20

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

WHITNEY ELAINE BUCKLES RD, LDN

Dietitian, Registered