MS. KIMBERLY K VAN GUNDY (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1528037074
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS
Provider Addresses for MS. KIMBERLY K VAN GUNDY (C.R.N.A.)
11413 Ash St
Leawood, KS 662111837
Phone: (913) 661-9977
Type: Location
901 Heartland Rd Ste 1820
Saint Joseph, MO 645066201
Phone: (816) 364-2772
Type: Location
3911, West 74th Terrace, Prairie Valley, Prairie Village, Johnson County, Kansas, 66208, United States
PRAIRIE VILLAGE, KS 662082952
Phone: (913) 777-9994
Type: Mailing
3151 NE CARNEGIE DR
LEES SUMMIT, MO 640643222
Phone: (816) 347-0026
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: UROGEN PHARMA, INC. ($34).
Total Amount
$100
General + Research + Ownership
Payments
4
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UROGEN PHARMA, INC. | $34 |
| Medtronic, Inc. | $27 |
| VERTEX PHARMACEUTICALS INCORPORATED | $22 |
| Fisher & Paykel Healthcare Inc | $16 |
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: 2021-01-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20130215000461 | I | Certified Registered Nurse Anesthetist (Crna) | KS | TBD |
| I20191206002549 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20210125000429 | I | Certified Registered Nurse Anesthetist (Crna) | VI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Emergency Medicine | MO | |
| H O S P I T A L I S T | AR | |
| Emergency Medicine | KS | |
| Internal Medicine, Hospitalist | MO | |
| Family Practice | MO |
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