KIM HOTTLE CRNA
NPI 1609890888
Nurse Anesthetist, Certified Registered in Statesville, NC
About Kim Hottle Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM HOTTLE CRNA (NPI 1609890888) is an individual nurse anesthetist, certified registered in Statesville, North Carolina, licensed in North Carolina (045358) and active in the NPI registry since July 2006. She is affiliated with Iredell Memorial Hospital Inc and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Kim Hottle 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
2Medicare enrollment records show Kim Hottle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 51 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 116 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Iredell Memorial Hospital Inc
Acute Care Hospitals · Statesville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28677 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.
STATESVILLE, NC 28677
STATESVILLE, NC 28677
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 Kim Hottle's NPI number?
The NPI number for Kim Hottle is 1609890888. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Kim Hottle located?
Kim Hottle practices at 557 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 873-5661.
What is Kim Hottle's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kim Hottle enrolled in Medicare?
Yes. Kim Hottle 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 Kim Hottle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Hottle reassigns Medicare benefits to 2 organizations: Iredell Memorial Hospital, Incorporated (Statesville, NC) and Iredell Physician Network LLC (Statesville, NC). 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 Kim Hottle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kim Hottle affiliated with any hospitals?
According to CMS data, Kim Hottle is affiliated with Iredell Memorial Hospital Inc.
When was this NPI record last updated?
The NPPES record for Kim Hottle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kim Hottle, CRNA · NPI 1609890888
Nurse Anesthetist, Certified Registered physician in Statesville, North Carolina. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1609890888 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 045358 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 557 BROOKDALE DR, Statesville, NC 28677-4107
- **Phone:** (704) 873-5661
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Iredell Memorial Hospital, Incorporated (NPI 1548230204, Statesville, NC); Iredell Physician Network LLC (NPI 1013941145, Statesville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 8051637 (NC); Medicare ID-Type Unspecified 2617367A (NC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1609890888) · Data from the CMS NPPES public registry.