KIMYATTA BRENT CRNA
NPI 1669882825
Nurse Anesthetist, Certified Registered in Tulsa, OK
About Kimyatta Brent Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMYATTA BRENT CRNA (NPI 1669882825) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (207524) and active in the NPI registry since April 2014. She is affiliated with Northeastern Health System, maintains a secondary practice location in Dallas, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kimyatta Brent 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
5Medicare enrollment records show Kimyatta Brent reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74135
- Reassigned Medicare billing, Oklahoma enrollment
- 48 clinicians in this Medicare group
Jenks, OK 74037
- Reassigned Medicare billing, Oklahoma enrollment
- 199 clinicians in this Medicare group
Tahlequah, OK 74464
- Reassigned Medicare billing, Oklahoma enrollment
- 159 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Oklahoma enrollment
- 144 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Oklahoma enrollment
- 315 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.
Northeastern Health System
Acute Care Hospitals · Tahlequah, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74104 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.
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
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 Kimyatta Brent's NPI number?
The NPI number for Kimyatta Brent is 1669882825. It was assigned to this individual provider in the NPPES registry on April 28, 2014.
Where is Kimyatta Brent located?
Kimyatta Brent practices at 800 S Tucker Dr, Tulsa, OK 74104. The listed phone number is (918) 631-2562.
What is Kimyatta Brent's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kimyatta Brent enrolled in Medicare?
Yes. Kimyatta Brent 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 Kimyatta Brent's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimyatta Brent reassigns Medicare benefits to 5 organizations: Anesthesia Associates Of Oklahoma PLLC (Tulsa, OK), Integral Anesthesia, LLC (Jenks, OK), Northeastern Health System (Tahlequah, OK), Northstar Anesthesia Of Oklahoma, PLLC (Arlington, TX) and Emergenchealth PLLC (Fort Worth, TX). 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 Kimyatta Brent's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimyatta Brent accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kimyatta Brent 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 Kimyatta Brent affiliated with any hospitals?
According to CMS data, Kimyatta Brent is affiliated with Northeastern Health System.
When was this NPI record last updated?
The NPPES record for Kimyatta Brent was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kimyatta Brent, CRNA · NPI 1669882825
Nurse Anesthetist, Certified Registered physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 28, 2014.
## Identity
- **NPI:** 1669882825 (Entity type: Individual)
- **Enumerated:** April 28, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 207524 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 S TUCKER DR, Tulsa, OK 74104-9700
- **Phone:** (918) 631-2562
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates Of Oklahoma PLLC (NPI 1770891475, Tulsa, OK); Integral Anesthesia, LLC (NPI 1881041515, Jenks, OK); Northeastern Health System (NPI 1003865999, Tahlequah, OK); Northstar Anesthesia Of Oklahoma, PLLC (NPI 1043516628, Arlington, TX); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669882825) · Data from the CMS NPPES public registry.