KATHRYN COLLEEN DEWILDE CRNA
NPI 1548409709
Nurse Anesthetist, Certified Registered in San Jose, CA
About Kathryn Colleen Dewilde Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN COLLEEN DEWILDE CRNA (NPI 1548409709) is an individual nurse anesthetist, certified registered in San Jose, California, licensed in California (3780) and active in the NPI registry since February 2009. She is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Kathryn Colleen Dewilde 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kathryn Dewilde reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- 2,460 clinicians in this Medicare group
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- 833 clinicians in this Medicare group
Oroville, CA 95966
- Reassigned Medicare billing, California enrollment
- 267 clinicians in this Medicare group
Chico, CA 95928
- Reassigned Medicare billing, California enrollment
- 39 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Kathryn Dewilde's NPI number?
The NPI number for Kathryn Dewilde is 1548409709. It was assigned to this individual provider in the NPPES registry on February 11, 2009. The provider is also known as Casey Colleen Gould Crna.
Where is Kathryn Dewilde located?
Kathryn Dewilde practices at 751 S Bascom Ave Anesthesiology Dept, San Jose, CA 95128. The listed phone number is (408) 885-5000.
What is Kathryn Dewilde's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kathryn Dewilde enrolled in Medicare?
Yes. Kathryn Dewilde 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 Kathryn Dewilde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Dewilde reassigns Medicare benefits to 4 organizations: County Of Santa Clara (San Jose, CA), Cep America - Anesthesia PC (San Jose, CA), Orohealth Corporation A Non Profit Healthcare System (Oroville, CA) and Orthopedic Associates Of Northern California A Medical Group (Chico, CA). 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 Kathryn Dewilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathryn Dewilde was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kathryn Colleen Dewilde, CRNA · NPI 1548409709
Nurse Anesthetist, Certified Registered physician in San Jose, California. Individual provider, active in the CMS NPPES registry since February 11, 2009.
## Identity
- **NPI:** 1548409709 (Entity type: Individual)
- **Enumerated:** February 11, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 3780 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, ANESTHESIOLOGY DEPT, San Jose, CA 95128-2604
- **Phone:** (408) 885-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): County Of Santa Clara (NPI 1588721500, San Jose, CA); Cep America - Anesthesia PC (NPI 1972951275, San Jose, CA); Orohealth Corporation A Non Profit Healthcare System (NPI 1013933167, Oroville, CA); Orthopedic Associates Of Northern California A Medical Group (NPI 1235108077, Chico, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548409709) · Data from the CMS NPPES public registry.