Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Justine Korneman, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1639934821

Katie Justine Korneman, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Merriam, Kansas. Qualified in 2025, 1 year ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Kansas and Missouri.

Years since qualifying
1
Licensed in
CA, KS, MO
In the registry since
2024
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

9100 W 74th St
Merriam, KS 66204-4004
Phone: (913) 676-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 — (816) 691-2021

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002657 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2026000994 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 43-558377-021 (KS)

Record details

NPI number1639934821
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 16, 2024
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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