Michael Edward Kientz, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Santa Rosa, CA

Michael Edward Kientz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Santa Rosa, California. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Aesthetic Eye Associates, Ps, Paceline Anesthesia, Pllc, Providence Wa Anesthesia Services, Pc and his current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 393-4000.

Michael Edward Kientz is licensed to practice in California (license number 724033) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962931105.

Contact Information

Michael Edward Kientz, CRNA
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
(707) 393-4000
Not Available

Map and Direction




Provider's Profile

Full NameMichael Edward Kientz
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location401 Bicentennial Way, Santa Rosa, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Edward Kientz graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1962931105
  • Provider Enumeration Date: 06/10/2017
  • Last Update Date: 06/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0244598829
  • Enrollment ID: I20190717002704

Medical Identifiers

Medical identifiers for Michael Edward Kientz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962931105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 724033 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Regional Medical Center EverettEverett, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aesthetic Eye Associates, Ps599179890211
Paceline Anesthesia, Pllc579985309925
Providence Wa Anesthesia Services, Pc933529888490

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Edward Kientz allows following entities to bill medicare on his behalf.
Entity NameAesthetic Eye Associates, Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023043445
PECOS PAC ID: 5991798902
Enrollment ID: O20040406000658
Entity NamePaceline Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417273780
PECOS PAC ID: 5799853099
Enrollment ID: O20081013000526
Entity NameProvidence Wa Anesthesia Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669615894
PECOS PAC ID: 9335298884
Enrollment ID: O20090513000135
Entity NameLake Washington Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962935197
PECOS PAC ID: 3678840543
Enrollment ID: O20170524001681

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Edward Kientz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Edward Kientz, CRNA
14050 Sosna Way,
Guerneville, CA 95446-9590

Ph: (561) 310-8721
Michael Edward Kientz, CRNA
401 Bicentennial Way,
Santa Rosa, CA 95403-2149

Ph: (707) 393-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Santa Rosa, CA

Delilah Patterson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-393-4616    
Mr. Dennis Eugene Oliver, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Kaiser Hospital, Santa Rosa, CA 95403
Phone: 707-571-4616    Fax: 707-571-3144
Mr. Gregory Lorne Groeneveld, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 170-571-4000    Fax: 707-836-0173
Ms. Indra Johansson-matthews, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    
Mr. Krishneel Lall, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-393-4000    
Mrs. Merri Beth Callender, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial, Kaiser, Santa Rosa, CA 95403
Phone: 707-571-4616    
Michael D Chevlen, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 310-274-7515    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.