KATHLENE HERBERMANN AA
NPI 1619297918
Anesthesiologist Assistant in Stockbridge, GA

Active since June 09, 2010Accepts Medicare Assignment
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(678) 604-1053(678) 604-5548 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathlene Herbermann Aa NPPES

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

KATHLENE HERBERMANN AA (NPI 1619297918) is an individual anesthesiologist assistant in Stockbridge, Georgia and active in the NPI registry since June 2010. She is affiliated with Ascension St Vincent's Riverside and is a graduate of Emory University School Of Medicine (2010).

NPPES Registry Identity

NPI1619297918
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKATHLENE HERBERMANNCredential: AA
Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085
Mailing Address909 Eagles Landing Pkwy, Suite 140-214Stockbridge, GA 30281-7247 · (678) 604-1053 · Fax (678) 604-5548
Fax(678) 604-5548
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2010
Enumeration DateJune 9, 2010
✔ NPI 1619297918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1133 EAGLES LANDING PKWY, Stockbridge, GA 30281

Accepted Insurance

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

Kathlene Herbermann Aa 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 ID8426246703
PECOS Enrollment IDI20170603000033

Medicare Billing Reassignments

2

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

Pulmonary Disease
655 W 8TH ST, UFJP PULMONARY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
Anesthesiology
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 177 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

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
31 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services 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.

Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Internal Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Obstetrics & Gynecology
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Registered Nurse (Administrator)
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Nurse Anesthetist, Certified Registered
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Hospitalist
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281

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 Kathlene Herbermann's NPI number?

The NPI number for Kathlene Herbermann is 1619297918. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Where is Kathlene Herbermann located?

Kathlene Herbermann practices at 1133 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 604-1053.

What is Kathlene Herbermann's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kathlene Herbermann enrolled in Medicare?

Yes. Kathlene Herbermann 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 Kathlene Herbermann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathlene Herbermann reassigns Medicare benefits to 2 organizations: University Of Florida Jacksonville Physicians Inc (Jacksonville, FL) and North Florida Anesthesia Consultants Inc (Jacksonville, FL). 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 Kathlene Herbermann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathlene Herbermann accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Kathlene Herbermann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathlene Herbermann affiliated with any hospitals?

According to CMS data, Kathlene Herbermann is affiliated with Ascension St Vincent's Riverside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Kathlene Herbermann was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.