BRYAN ANDREW WOODWORTH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1578522082

BRYAN ANDREW WOODWORTH (CRNA) is a healthcare provider. based in Lees summit, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 149870 (MO). The NPI Number for BRYAN ANDREW WOODWORTH (CRNA) is 1578522082

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN ANDREW WOODWORTH (CRNA)
NPI
1578522082
Phone
(816) 389-4130
Address
250 NE MULBERRY
Enumeration Date
22 March 2006
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9137873728
Graduation Year
2001 (25 years ago)
PAC ID
6709839657
Group Practice PAC ID
8820354475
Professional Enrollment ID
I20110420000312
Address ID
KS662093345LE3601XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for BRYAN ANDREW WOODWORTH (CRNA)

  • 250 NE MULBERRY

    C/O SJS MEDICAL MANAGEMENT SUITE 202

    LEES SUMMIT, MO 640864833

    Phone: (816) 389-4130

    Fax: (816) 389-4140

    Type: Mailing

  • 3601 W 133RD ST

    LEAWOOD, KS 662093345

    Phone: (913) 787-3729

    Fax: (913) 730-5463

    Type: Location

  • Centerpoint Medical Center, 19600, East 39th Street, Selsa, Independence, Jackson County, Missouri, 64057, United States

    CENTERPOINT MEDICAL CENTER

    INDEPENDENCE, MO 640572301

    Phone: (816) 698-7000

    Fax: (816) 698-8165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $555.

Total Amount is formed as General ($555) + Research ($0) + Ownership ($0) = $555.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($185).

Total Amount

$555

General + Research + Ownership

Payments

28

Total payment records

General Amount

$555

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2011-04-20

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
I20050302001051ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20110420000312ICertified 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
96372Injection of drug or substance under skin or into muscle10214$0
99213Established patient office or other outpatient visit, 20-29 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 64086)

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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: 8820354475View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

Does BRYAN ANDREW WOODWORTH (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRYAN ANDREW WOODWORTH (CRNA) uses 1578522082.
Does the file indicate BRYAN ANDREW WOODWORTH (CRNA) is practicing under active NPI?
Directory data currently reports BRYAN ANDREW WOODWORTH (CRNA) as active.
What is BRYAN ANDREW WOODWORTH (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for BRYAN ANDREW WOODWORTH (CRNA) here. Clinical services aligned with this taxonomy classification.
Where is BRYAN ANDREW WOODWORTH (CRNA) based?
BRYAN ANDREW WOODWORTH (CRNA) is tied to Lees Summit, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about BRYAN ANDREW WOODWORTH (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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