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

Kevin A. Roark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1366677403

Kevin A. Roark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Greenville, North Carolina. Qualified in 2009, 17 years ago. Practices with Western Anesthesia Associates LLC, a 17-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2430 Emerald Pl Ste 201
Greenville, NC 27834-5784
Phone: (252) 752-2140
Fax: (252) 752-3949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 082168 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 215024 (NC)

Record details

NPI number1366677403
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 19, 2009
Last updated in NPPESMay 24, 2010

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Western Anesthesia Associates Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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