MS. KELLY R GORDON (RN ARNP CRNA) – Registered Nurse, NPI 1063495711
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
Provider Addresses for MS. KELLY R GORDON (RN ARNP CRNA)
901 Heartland Rd Ste 1820
Saint Joseph, MO 645066201
Phone: (816) 364-2772
Type: Location
North 139th Street, Victory Junction, Kansas City, Wyandotte County, Kansas, 66007:66048, United States
KANSAS CITY, KS 661094234
Phone: (913) 721-3641
Fax: (913) 721-3649
Type: Mailing
3310, West 10th Street, Sedalia, Pettis County, Missouri, 65301, United States
SEDALIA, MO 653012111
Phone: (660) 829-4024
Type: Location
3550 S 4th St
Leavenworth, KS 660485071
Phone: (800) 903-2088
Fax: (913) 334-0875
Type: Location
706 N Burkarth Rd
Warrensburg, MO 640939303
Phone: (660) 747-8868
Type: Location
8800 Ballentine St
Overland Park, KS 662141900
Phone: (913) 363-2663
Type: Location
29800 W 127TH ST
OLATHE, KS 660618636
Phone: (913) 522-0889
Type: Mailing
1318 E 104TH ST
KANSAS CITY, MO 641314504
Phone: (816) 256-5200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Medtronic, Inc. ($44).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $44 |
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: 2021-03-08
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 |
|---|---|---|---|---|
| I20040123000572 | I | Certified Registered Nurse Anesthetist (Crna) | KS | TBD |
| I20040302001164 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20210308000270 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 27 | 27 | $0 |
Insurance plans in this area (ZIP 64506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | VI | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Certified Registered Nurse Anesthetist (Crna) | MO |
Reviews
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