MRS. BRENDA RAE RUTHERFORD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154326874

MRS. BRENDA RAE RUTHERFORD (CRNA) is a healthcare provider. based in Blue springs, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R0081080 (OK). The NPI Number for MRS. BRENDA RAE RUTHERFORD (CRNA) is 1154326874

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BRENDA RAE RUTHERFORD (CRNA)
NPI
1154326874
Phone
(816) 988-8415
Address
209 NW NORTH RIDGE DRIVE, SUITE B
Enumeration Date
17 June 2005
Last Update Date
28 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162825000
Graduation Year
2002 (24 years ago)
PAC ID
6608841176
Group Practice PAC ID
1951206168
Professional Enrollment ID
I20040827001102
Address ID
MO640631007LE2100XPKWY407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for MRS. BRENDA RAE RUTHERFORD (CRNA)

  • Northwest North Ridge Drive, Blue Springs, Jackson County, Missouri, 64015, United States

    ANESTHESIA SERVICES OF BLUE SPRINGS

    BLUE SPRINGS, MO 640156320

    Phone: (816) 988-8415

    Fax: (816) 988-8395

    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)

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: 2018-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040827001102ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20180419002613ICertified 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 replacement1818$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 64015)

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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: 1951206168View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
-KS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YKS
Certified Registered Nurse Anesthetist (Crna)MO
-KS
A N E S T H E S I O L O G YKS
-KS
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

What NPI should I save for MRS. BRENDA RAE RUTHERFORD (CRNA)?
Save NPI 1154326874 if you need a stable reference for MRS. BRENDA RAE RUTHERFORD (CRNA).
Does this profile mean MRS. BRENDA RAE RUTHERFORD (CRNA) is currently active?
Yes — MRS. BRENDA RAE RUTHERFORD (CRNA) appears active in the national provider directory.
What kind of provider is MRS. BRENDA RAE RUTHERFORD (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MRS. BRENDA RAE RUTHERFORD (CRNA). Clinical services aligned with this taxonomy classification.
Does MRS. BRENDA RAE RUTHERFORD (CRNA) practice in Missouri?
You will see Blue Springs, Missouri on file for MRS. BRENDA RAE RUTHERFORD (CRNA) alongside any extra practice locations.
What if Blue Springs, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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