JEFF ANDREW CARPENTER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164907408

JEFF ANDREW CARPENTER (CRNA) is a healthcare provider. based in Andover, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. TMP-157280 (KS). The NPI Number for JEFF ANDREW CARPENTER (CRNA) is 1164907408

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JEFF ANDREW CARPENTER (CRNA)
NPI
1164907408
Phone
(316) 300-4000
Address
1124 W 21ST ST
Enumeration Date
2 October 2018
Last Update Date
12 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3164625000
Graduation Year
2018 (8 years ago)
PAC ID
9739432691
Group Practice PAC ID
1153586821
Professional Enrollment ID
I20181024000298
Address ID
KS672268123WI3333XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

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Provider Addresses for JEFF ANDREW CARPENTER (CRNA)

  • Kansas Medical Center, 1124, West 21st Street, Andover, Butler County, Kansas, 67002, United States

    ANDOVER, KS 670025500

    Phone: (316) 300-4000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181024000298ICertified Registered Nurse Anesthetist (Crna)KSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2222$0
00812Anesthesia for exam of colon using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 67002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153586821View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

Can I use this page to confirm JEFF ANDREW CARPENTER (CRNA)'s NPI?
Yes. JEFF ANDREW CARPENTER (CRNA) is listed with NPI 1164907408 in the public NPI dataset.
Is JEFF ANDREW CARPENTER (CRNA) still practicing?
JEFF ANDREW CARPENTER (CRNA) is currently listed as active in the public NPI registry.
What is JEFF ANDREW CARPENTER (CRNA) best known for clinically?
Directory data describes JEFF ANDREW CARPENTER (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect JEFF ANDREW CARPENTER (CRNA) on a map?
Expect Andover, Kansas as a primary anchor for JEFF ANDREW CARPENTER (CRNA) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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