KIMYATTA BRENT CRNA
NPI 1669882825
Nurse Anesthetist, Certified Registered in Tulsa, OK

Active since April 28, 2014Accepts Medicare Assignment
91.18/100
CMS Quality Rating
800 S TUCKER DR, TULSA, OK 74104(918) 631-2562 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2022, Jul 7, 2022 (2 updates tracked since 2022).

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

NPI1669882825
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIMYATTA BRENTCredential: CRNA
Location Address800 S TUCKER DRTulsa, OK 74104-9700
Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 715-5000 · Fax (972) 715-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 28, 2014
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
NPI 1669882825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in OK · 207524 Licensed in TX · AP128262
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.
800 S TUCKER DR, Tulsa, OK 74104

Secondary Practice Location 1

Location 16606 Lyndon B Johnson Fwy Ste 200Dallas, TX 75240-6524 · Phone (972) 715-5000 · Fax (972) 715-9976

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7012220635
PECOS Enrollment IDI20220530000178

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, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Physician 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.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Student in an Organized Health Care Education/Training Program
800 S TUCKER DR
TULSA, OK 74104
Student in an Organized Health Care Education/Training Program
800 S TUCKER DR
TULSA, OK 74104
Specialist/Technologist (Athletic Trainer)
800 S TUCKER DR
TULSA, OK 74104
Specialist/Technologist (Athletic Trainer)
800 S TUCKER DR
TULSA, OK 74104
Physician Assistant
800 S TUCKER DR
TULSA, OK 74104
Specialist/Technologist (Athletic Trainer)
800 S TUCKER DR
TULSA, OK 74104
Student in an Organized Health Care Education/Training Program
800 S TUCKER DR
TULSA, OK 74104
Student in an Organized Health Care Education/Training Program
800 S TUCKER DR
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.

What insurance does Kimyatta Brent accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Medica 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.