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MRS. KENZI WOOD
NPI 1710668900
Nurse Anesthetist, Certified Registered in Sandoval, IL

Active since July 31, 2023PECOS EnrolledAccepts Medicare Assignment
5802 POPE RD, SANDOVAL, IL 62882(618) 367-2673 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Mrs. Kenzi Wood NPPES

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

MRS. KENZI WOOD (NPI 1710668900) is an individual nurse anesthetist, certified registered in Sandoval, Illinois, licensed in Illinois (209029161) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710668900
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. KENZI WOOD
Location Address5802 POPE RDSandoval, IL 62882-2020
Mailing Address5802 Pope RdSandoval, IL 62882-2020
Phone(618) 367-2673
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 31, 2023
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1710668900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209029161
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 496097 (OH)
5802 POPE RD, Sandoval, IL 62882
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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

Mrs. Kenzi Wood 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 ID941649990
PECOS Enrollment IDI20240423003731
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kenzi Wood reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Mary's Hospital, Centralia, Illinois
11 mi
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
NPI 1477097871 (618) 436-6056
Anesthesia Associates Of Southern Illinois Surgery Center LLC
28 mi
Anesthesiology
2 GOOD SAMARITAN WAY STE 200
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group
NPI 1043757487 (618) 899-5703
Good Samaritan Regional Health Center
28 mi
Specialist
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
NPI 1134457955 (618) 899-4600

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 5

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 large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
29 services29 patients
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.
24 services24 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
24 services24 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
15 services15 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62882 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Kenzi Wood's NPI number?

The NPI number for Kenzi Wood is 1710668900. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Kenzi Wood located?

Kenzi Wood practices at 5802 Pope Rd, Sandoval, IL 62882. The listed phone number is (618) 367-2673.

What is Kenzi Wood's specialty?

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

Is Kenzi Wood enrolled in Medicare?

Yes. Kenzi Wood 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 Kenzi Wood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenzi Wood reassigns Medicare benefits to 3 organizations: St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Anesthesia Associates Of Southern Illinois Surgery Center LLC (Mount Vernon, IL) and Good Samaritan Regional Health Center (Mount Vernon, IL). 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 Kenzi Wood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kenzi Wood affiliated with any hospitals?

According to CMS data, Kenzi Wood is affiliated with Ssm Health St Mary's Hospital -Centralia.

When was this NPI record last updated?

The NPPES record for Kenzi Wood was last updated on April 17, 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.