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RANDALL KINIETZ
NPI 1700639457
Nurse Anesthetist, Certified Registered in Grove City, OH

Active since April 10, 2024Accepts Medicare Assignment
5300 N MEADOWS DR, GROVE CITY, OH 43123(614) 663-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Apr 10, 2024 (2 updates tracked since 2024).

About Randall Kinietz NPPES

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

RANDALL KINIETZ (NPI 1700639457) is an individual nurse anesthetist, certified registered in Grove City, Ohio, licensed in Ohio (APRN.CRNA.0021059) and active in the NPI registry since April 2024. He is affiliated with Mount Carmel East & West and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700639457
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRANDALL KINIETZ
Location Address5300 N MEADOWS DRGrove City, OH 43123-2546
Mailing Address2010 Reilly Run Unit LGrove City, OH 43123-9013 · (740) 919-9234
Phone(614) 663-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 10, 2024
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1700639457 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
License✔ Licensed in OH · APRN.CRNA.0021059
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.
5300 N MEADOWS DR, Grove City, OH 43123
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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

Randall Kinietz 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 ID7214469907
PECOS Enrollment IDI20241018003126

Medicare Billing Reassignment

Medicare enrollment records show Randall Kinietz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Anesthesia Of Ohio LLC
0.7 mi
Anesthesiology
5300 N MEADOWS DR
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
  • 280 clinicians in this Medicare group
NPI 1699196022 (614) 663-5000

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.

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

LUKE BRESSLER
Student in an Organized Health Care Education/Training Program
5300 N MEADOWS DR
GROVE CITY, OH 43123
Franklin County (614) 663-4550
CASEY MARIE CARR DO
Student in an Organized Health Care Education/Training Program
5300 N MEADOWS DR
GROVE CITY, OH 43123
Franklin County (614) 663-4550
NICOLE LETELLIER
Nurse Anesthetist, Certified Registered
5300 N MEADOWS DR
GROVE CITY, OH 43123
Franklin County (614) 663-5000
MICHAEL PAUL KARSKI DO
Student in an Organized Health Care Education/Training Program
5300 N MEADOWS DR
GROVE CITY, OH 43123
Franklin County (614) 663-4550
HOLDEN MITCHELL WILLETT CRNA
Nurse Anesthetist, Certified Registered
5300 N MEADOWS DR
GROVE CITY, OH 43123
Franklin County (614) 663-5000
ELIZABETH HOWCROFT
Internal Medicine (Pulmonary Disease)
5300 N MEADOWS DR
GROVE CITY, OH 43123
Franklin County (614) 663-4550
HALEY POHL
Nurse Anesthetist, Certified Registered
5300 N MEADOWS DR
GROVE CITY, OH 43123
Franklin County (614) 663-5000
JOHN SCANDALE
Student in an Organized Health Care Education/Training Program
5300 N MEADOWS DR
GROVE CITY, OH 43123
Franklin County (614) 663-4550

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 Randall Kinietz's NPI number?

The NPI number for Randall Kinietz is 1700639457. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Randall Kinietz located?

Randall Kinietz practices at 5300 N Meadows Dr, Grove City, OH 43123. The listed phone number is (614) 663-5000.

What is Randall Kinietz's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Randall Kinietz enrolled in Medicare?

Yes. Randall Kinietz 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 organization bills Medicare for Randall Kinietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Kinietz reassigns Medicare benefits to Premier Anesthesia Of Ohio LLC (Grove City, OH). The 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 Randall Kinietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Randall Kinietz affiliated with any hospitals?

According to CMS data, Randall Kinietz is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Randall Kinietz was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.