Jill C Gallagher, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Wichita, KS

NPI 1003853300 · NPPES record last updated Jan 13, 2014

Key facts

NPI
1003853300
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
55030 (KS)
Practice address
8330 E Overbrook St
Wichita, KS 67206-2326
Phone
(316) 644-1193
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Center LLC (54 clinicians)

Practice addresses (Care Compare)

1124 W 21St St
Andover Anesthesia Care Specialists
Andover, KS 67002-5500
Phone (316) 300-4911

Hospital & facility affiliations

  • Kansas Medical Center LLC Hospital · Andover, KS · CCN 170197

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100 (group)
Quality
59.78
Promoting interoperability
97
Improvement activities
40
Cost
73.83

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061109000691 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870591696 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
55030KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Center LLC Current Accepting new patients
Kansas Medical Center, LLC Current
since Oct 6, 2006
Accepting new patients
Kansas Medical Center, LLC Current Accepting new patients
Kansas Medical Center, LLC Current
since Oct 6, 2006
Accepting new patients
St John'S Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
St Johns Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Kansas Professional Anesthesia and Pain Management Specialists, P.a. Past
since May 14, 2001
Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 55030 KS Yes

Addresses

Primary practice location

8330 E Overbrook St
Wichita, KS 67206-2326

Mailing address

8330 East Overbrook St.
Wichita, KS 67206
Phone (316) 644-1193

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2014.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1003853300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 EAST OVERBROOK ST.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-644-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 E OVERBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062326",
            "telephone_number": "316-644-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JILL",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

All providers in Wichita, KS · Certified Registered Nurse Anesthetist in Kansas

Sources for this page

Verify at the official NPI Registry.