DR. ROBERT CHARLES MIX (DNP, CRNA) – Certified Registered Nurse Anesthetist, NPI 1215550454
Certified Registered Nurse Anesthetist
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 DR. ROBERT CHARLES MIX (DNP, CRNA)
100 NE Saint Lukes Blvd
Lees Summit, MO 640866000
Phone: (816) 932-3679
Fax: (816) 932-9089
Type: Location
1318 E 104th St
Kansas City, MO 641314504
Phone: (816) 256-5200
Type: Location
8800 Ballentine St
Overland Park, KS 662141900
Phone: (913) 363-2663
Type: Location
901 E 104TH ST
KANSAS CITY, MO 641314517
Phone: (816) 932-3679
Fax: (816) 932-9089
Type: Mailing
4401 WORNALL RD
KANSAS CITY, MO 641113220
Phone: (816) 932-3679
Fax: (816) 932-9089
Type: Location
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
ONE HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 882-2568
Fax: (855) 903-0985
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 $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($55).
Total Amount
$55
General + Research + Ownership
Payments
2
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $55 |
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: 2020-07-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200528002941 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20200707002474 | I | Certified Registered Nurse Anesthetist (Crna) | KS | 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 64086)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| A N E S T H E S I O L O G Y | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS |
Reviews
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