ALISSA BLAU – Certified Registered Nurse Anesthetist, NPI 1114360542

ALISSA BLAU is a healthcare provider. based in Kansas city, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 14111118011 (KS). The NPI Number for ALISSA BLAU is 1114360542

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA BLAU
NPI
1114360542
Phone
(913) 588-6670
Address
PO BOX 411851
Enumeration Date
16 April 2013
Last Update Date
29 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9136322230
Graduation Year
2016 (10 years ago)
PAC ID
7214179027
Group Practice PAC ID
4981597838
Professional Enrollment ID
I20130807000605
Address ID
KS662044004SH9100XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for ALISSA BLAU

  • PO BOX 411851

    KANSAS CITY, MO 641411851

    Phone: (913) 588-6670

    Fax: (913) 588-3365

    Type: Mailing

  • 3901 RAINBOW BLVD

    KANSAS CITY, KS 661608500

    Phone: (913) 588-6670

    Fax: (913) 588-3365

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Medline Industries LP ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$33
View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-07

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
I20130807000605ICertified 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
01402Anesthesia for procedure for total knee joint replacement2020$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00914Anesthesia for removal of prostate including use of an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 64141)

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Provider's Procedures

ALISSA BLAU performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETKS00142Anesthesia for lens surgery1111

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: 4981597838View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
Anesthesiology, Pain ManagementKS
Anesthesiology, Pain ManagementKS
Anesthesiology, Pain ManagementKS
-KS

Reviews

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Frequently asked questions

How do payers reference ALISSA BLAU?
For ALISSA BLAU, use NPI 1114360542 as the unique 10-digit identifier.
Is ALISSA BLAU shown as active in public data?
Registry records indicate ALISSA BLAU maintains an active NPI.
What kind of doctor is ALISSA BLAU?
ALISSA BLAU is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is ALISSA BLAU located near Kansas City?
ALISSA BLAU currently maps to Kansas City, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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