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

Samantha Kingsley

Individual provider Critical Care Medicine Registered Nurse · NPI 1467167064

Samantha Kingsley is a Certified Registered Nurse Anesthetist (CRNA) in Columbus, Ohio. Qualified in 2023, 3 years ago. Practices with West Broad Anesthesia, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

5100 W Broad St
Columbus, OH 43228-1672
Phone: (614) 544-1000
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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 0020787 (OH)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN.410539 (OH)

Record details

NPI number1467167064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESDecember 30, 2023
Certification dateDecember 30, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice West Broad Anesthesia, Inc. — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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