1. Home
  2. Directory
  3. West Virginia
  4. South Charleston
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

KRISTOPHER CALEB PACK
NPI 1750022463
Nurse Anesthetist, Certified Registered in South Charleston, WV

Active since April 05, 2022Accepts Medicare Assignment
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303(304) 746-2088 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Apr 5, 2022 (2 updates tracked since 2022).

About Kristopher Caleb Pack NPPES

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

KRISTOPHER CALEB PACK (NPI 1750022463) is an individual nurse anesthetist, certified registered in South Charleston, West Virginia, licensed in West Virginia (97394) and active in the NPI registry since April 2022. He is affiliated with Cabell Huntington Hospital, Inc and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750022463
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKRISTOPHER CALEB PACK
Location Address100 ANGUS E PEYTON DRSouth Charleston, WV 25303-1600
Mailing Address1575 Arnold CtHuntington, WV 25705-2909 · (304) 673-9546
Phone(304) 746-2088
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1750022463 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 WV · 97394
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 Nurse · SchoolTaxonomy 163WS0200X · License 97394 (WV)
100 ANGUS E PEYTON DR, South Charleston, WV 25303
Open in Google Maps ↗

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

Kristopher Caleb Pack 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 ID4789125774
PECOS Enrollment IDI20240918000277

Medicare Billing Reassignment

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

Northstar Anesthesia Of West Virginia, PLLC
937 mi
Anesthesiology
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, West Virginia enrollment
  • 263 clinicians in this Medicare group
NPI 1821448150 (214) 687-0001

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.

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25303 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 19

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

EMMALEE SUSAN MOLES
Speech-Language Pathologist
100 ANGUS E PEYTON DR
SOUTH CHARLESTON, WV 25303
Kanawha County (304) 696-3455
JESSICA SMITH RN
Nurse Anesthetist, Certified Registered
100 ANGUS E PEYTON DR
SOUTH CHARLESTON, WV 25303
Kanawha County (304) 746-2088
CLAIRE HAMILON
Student in an Organized Health Care Education/Training Program
100 ANGUS E PEYTON DR
SOUTH CHARLESTON, WV 25303
Kanawha County (304) 746-2500
SABLE BACKUS
Nurse Anesthetist, Certified Registered
100 ANGUS E PEYTON DR
SOUTH CHARLESTON, WV 25303
Kanawha County (304) 290-5394
EMILY BANKS
Nurse Anesthetist, Certified Registered
100 ANGUS E PEYTON DR
SOUTH CHARLESTON, WV 25303
Kanawha County (304) 784-0946
BETHANY WEATHERHOLT
Registered Nurse
100 ANGUS E PEYTON DR
SOUTH CHARLESTON, WV 25303
Kanawha County (304) 746-2088
CHIOMA CYNTHIA UBAH
Nurse Anesthetist, Certified Registered
100 ANGUS E PEYTON DR
SOUTH CHARLESTON, WV 25303
Kanawha County (304) 746-2088
ALISON MCGAUGHEY
Nurse Anesthetist, Certified Registered
100 ANGUS E PEYTON DR
SOUTH CHARLESTON, WV 25303
Kanawha County (304) 746-1900

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 Kristopher Pack's NPI number?

The NPI number for Kristopher Pack is 1750022463. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Kristopher Pack located?

Kristopher Pack practices at 100 Angus E Peyton Dr, South Charleston, WV 25303. The listed phone number is (304) 746-2088.

What is Kristopher Pack's specialty?

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

Is Kristopher Pack enrolled in Medicare?

Yes. Kristopher Pack 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 Kristopher Pack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Pack reassigns Medicare benefits to Northstar Anesthesia Of West Virginia, PLLC (Irving, TX). 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 Kristopher Pack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kristopher Pack affiliated with any hospitals?

According to CMS data, Kristopher Pack is affiliated with Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Kristopher Pack was last updated on August 21, 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.