Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1083698872
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Menorah Medical Center, 5721, West 119th Street, Overland Park, Johnson County, Kansas, 66209, United States
OVERLAND PARK, KS 662093722
Phone: (816) 763-5446
Type: Location
10301, Hickman Mills Drive, Holmes Park, Kansas City, Jackson County, Missouri, 64137, United States
100
KANSAS CITY, MO 641371674
Phone: (816) 763-5446
Fax: (816) 763-8426
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Boston Scientific Corporation ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 66209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| - | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| A N E S T H E S I O L O G Y | KS | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | KS | |
| A N E S T H E S I O L O G Y | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS |
Reviews
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