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

Randall Kinietz

Individual provider Certified Registered Nurse Anesthetist · NPI 1700639457

Randall Kinietz is a Certified Registered Nurse Anesthetist (CRNA) in Grove City, Ohio. Qualified in 2024, 2 years ago. Practices with Premier Anesthesia of Ohio LLC, a 128-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024

Practice location Address checks out

5300 N Meadows Dr
Grove City, OH 43123-2546
Phone: (614) 663-5000
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.0021059 (OH)

Record details

NPI number1700639457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 10, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address2010 Reilly Run Unit L, Grove City, OH 43123-9013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Anesthesia Of Ohio Llc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grove City