MRS. STACY KAY DIPMAN HAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1275516114
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
967 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS
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Provider Addresses for MRS. STACY KAY DIPMAN HAM (CRNA)
Kansas Medical Clinic, 2200, Southwest 6th Avenue, Topeka, Shawnee County, Kansas, 66606, United States
SUITE 104
TOPEKA, KS 666061707
Phone: (785) 354-8518
Fax: (785) 354-1255
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)
CMS reports 25 Open Payments records for all available years, with a total value of $436.
Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($216).
Total Amount
$436
General + Research + Ownership
Payments
25
Total payment records
General Amount
$436
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151215002097 | I | Certified Registered Nurse Anesthetist (Crna) | KS | TBD |
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.
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 | 278 | 273 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 137 | 134 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 61 | 61 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 22 | 22 | $0 |
Insurance plans in this area (ZIP 66606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | KS | |
| D E R M A T O L O G Y | KS | |
| P A T H O L O G Y | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Physician Assistant | MO | |
| Physician Assistant | KS |
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