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
Hospital & facility affiliations 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.33 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061109000691 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3870591696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55030 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Medical Center LLC | Current | Accepting new patients | |
| Kansas Medical Center, LLC | Current |
Accepting new patients | |
| Kansas Medical Center, LLC | Current | Accepting new patients | |
| Kansas Medical Center, LLC | Current |
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 |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Judy Galdean
- Galichia Anesthesia Services LLC
- Galichia Emergency Physicians LLC
- Galichia Medical Group, P.a.
- Joseph P Galichia
- Matthew T Gallagher
- Richard Gallant
- Theresa Marie Gallant
- Adriana Lizeth Gallegos
- Carol S Gallegos
All providers in Wichita, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.