MR. KEMO MARONG CRNA
NPI 1992174940
Nurse Anesthetist, Certified Registered in Brooklyn Park, MN

Active since September 21, 2015PECOS EnrolledAccepts Medicare Assignment
9618 SCOTT LN N, BROOKLYN PARK, MN 55443(320) 291-8635 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Kemo Marong Crna NPPES

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

MR. KEMO MARONG CRNA (NPI 1992174940) is an individual nurse anesthetist, certified registered in Brooklyn Park, Minnesota, licensed in Minnesota (CRNA 1801) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992174940
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. KEMO MARONGCredential: CRNA
Location Address9618 SCOTT LN NBrooklyn Park, MN 55443-5101
Mailing Address9618 Scott Ln NBrooklyn Park, MN 55443-5101 · (320) 291-8635
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 21, 2015
✔ NPI 1992174940 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 MN · CRNA 1801
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.
9618 SCOTT LN N, Brooklyn Park, MN 55443

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

Mr. Kemo Marong 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 ID7618285032
PECOS Enrollment IDI20151006000018
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

4

Medicare enrollment records show Kemo Marong reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
9300 NOBLE PKWY N
Brooklyn Park, MN 55443
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
Gastroenterology
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Mngi Digestive Health PA
  • 322 clinicians in this Medicare group
Anesthesiology
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 681 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 2

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 procedure to correct abnormal heart rhythm 00410
Anesthesia for a procedure to correct abnormal heart rhythm ensures you won't feel pain during the treatment. It can be general, where you're completely asleep, or local, numbing only a specific area. Your vital signs are monitored to ensure safety during the procedure.
13 services12 patients
Anesthesia for insertion of permanent heart pacemaker 00530
Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55443 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 Kemo Marong's NPI number?

The NPI number for Kemo Marong is 1992174940. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Kemo Marong located?

Kemo Marong practices at 9618 Scott Ln N, Brooklyn Park, MN 55443. The listed phone number is (320) 291-8635.

What is Kemo Marong's specialty?

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

Is Kemo Marong enrolled in Medicare?

Yes. Kemo Marong 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 Kemo Marong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kemo Marong reassigns Medicare benefits to 4 organizations: Allina Health System (Brooklyn Park, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN), Mngi Digestive Health, P.A. (Minneapolis, MN) and University Anesthesia Providers, LLC (Minneapolis, MN). 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 Kemo Marong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kemo Marong affiliated with any hospitals?

According to CMS data, Kemo Marong is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Kemo Marong was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.