KEVIN M. DEAO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1891107652

KEVIN M. DEAO (CRNA) is a healthcare provider. based in Shawnee mission, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 114826 (KS). The NPI Number for KEVIN M. DEAO (CRNA) is 1891107652

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN M. DEAO (CRNA)
NPI
1891107652
Phone
(913) 676-2679
Address
9100 W 74TH ST
Enumeration Date
28 May 2014
Last Update Date
20 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202300044
Graduation Year
2014 (12 years ago)
PAC ID
7810113453
Group Practice PAC ID
7618418088
Professional Enrollment ID
I20140717000502
Address ID
KS667626621PI2711XBXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:12State licenses:4Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for KEVIN M. DEAO (CRNA)

  • 9100 W 74TH ST

    SHAWNEE MISSION, KS 662044004

    Phone: (913) 676-2679

    Fax: (913) 789-3191

    Type: Mailing

  • 9100 W 74th St

    Shawnee Mission, KS 662044004

    Phone: (913) 676-2679

    Fax: (913) 789-3191

    Type: Location

  • 100 N Pine St

    Pittsburg, KS 667624756

    Phone: (620) 231-9072

    Type: Location

  • 29 NW 1ST LN

    LAMAR, MO 64759

    Phone: (417) 681-5100

    Type: Location

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: 2016-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1042 days ago).

Enrollment records

2

Earliest due date

2023-07-31

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
I20140717000502ICertified Registered Nurse Anesthetist (Crna)KS2023-07-31
I20161025000135ICertified Registered Nurse Anesthetist (Crna)MOTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66204)

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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: 7618418088View full group profile
NameSpecialtyState
U R O L O G YKS
Interventional Cardiology, Cardiovascular Disease (Cardiology)OH
Certified Registered Nurse Anesthetist (Crna)KS
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyKS
Cardiovascular Disease (Cardiology), Cardiac Surgery, Interventional CardiologyKS
Nurse PractitionerKS
Certified Registered Nurse Anesthetist (Crna)KS
Internal MedicineKS
Certified Registered Nurse Anesthetist (Crna)KS
General SurgeryKS

Reviews

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Frequently asked questions

What is KEVIN M. DEAO (CRNA)'s NPI number?
KEVIN M. DEAO (CRNA)'s NPI is 1891107652 — the number used across U.S. healthcare to identify this provider.
Would KEVIN M. DEAO (CRNA) appear as active to a payer?
You can treat KEVIN M. DEAO (CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KEVIN M. DEAO (CRNA)?
KEVIN M. DEAO (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is KEVIN M. DEAO (CRNA) associated with Shawnee Mission?
Public fields place KEVIN M. DEAO (CRNA) around Shawnee Mission, Kansas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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