MS. ELIZABETH KOOB CLYNE CRNA
NPI 1679529655
Nurse Anesthetist, Certified Registered in Saint Louis, MO
About Ms. Elizabeth Koob Clyne Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ELIZABETH KOOB CLYNE CRNA (NPI 1679529655) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2002001428) and active in the NPI registry since May 2006. She is a graduate of Other (2006).
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
Ms. Elizabeth Koob Clyne 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 Elizabeth Koob Clyne reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Creve Coeur, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 26 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 221 clinicians in this Medicare group
Saint Louis, MO 63131
- Reassigned Medicare billing, Missouri enrollment
- 69 clinicians in this Medicare group
Saint Louis, MO 63122
- Reassigned Medicare billing, Missouri enrollment
- 27 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- 42 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
CREVE COEUR, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Elizabeth Koob Clyne's NPI number?
The NPI number for Elizabeth Koob Clyne is 1679529655. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Elizabeth Koob Clyne located?
Elizabeth Koob Clyne practices at 12634 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (314) 996-8378.
What is Elizabeth Koob Clyne's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Elizabeth Koob Clyne enrolled in Medicare?
Yes. Elizabeth Koob Clyne 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 Elizabeth Koob Clyne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Koob Clyne reassigns Medicare benefits to 5 organizations: Viking Anesthesia Services, LLC (Creve Coeur, MO), Metro-West Anesthesia Group Inc (Chesterfield, MO), Eye Anesthesia LLC (Saint Louis, MO), Gateway Anesthesia Group LLC (Saint Louis, MO) and SW Anesthesia LLC (Saint Louis, MO). 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 Elizabeth Koob Clyne'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 Elizabeth Koob Clyne was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Elizabeth Koob Clyne, CRNA · NPI 1679529655
Nurse Anesthetist, Certified Registered physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1679529655 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2002001428 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12634 OLIVE BLVD, Saint Louis, MO 63141-6337
- **Phone:** (314) 996-8378 · **Fax:** (314) 996-8910
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Viking Anesthesia Services, LLC (NPI 1962809244, Creve Coeur, MO); Metro-West Anesthesia Group Inc (NPI 1245427335, Chesterfield, MO); Eye Anesthesia LLC (NPI 1528334182, Saint Louis, MO); Gateway Anesthesia Group LLC (NPI 1457040479, Saint Louis, MO); SW Anesthesia LLC (NPI 1306319769, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 8, 2012
- **Other identifiers:** Medicaid 600420060 (MO); Medicare PIN 600420060 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1679529655) · Data from the CMS NPPES public registry.