Individual provider Active NPI

Kenneth Jude Conde, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Joseph, MO
National Provider Identifier
1033126172
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
154996 Issued in MO
Practice address
4510 Frederick Ave
Saint Joseph, MO 64506-3238
Phone
(816) 364-9992
NPI assigned
Aug 2, 2006
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 154996 MO Primary

Addresses

Primary practice location

4510 Frederick Ave
Saint Joseph, MO 64506-3238

Mailing address

1701 S 45TH St
Suite a
Kansas City, KS 66106-2527
Phone (913) 721-3641

Other practice location 1

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021

Other identifiers 8

IdentifierTypeStateIssuer
145374OtherKSBLUE CROSS BLUE SHIELD KANSAS
914815543MedicaidMO
P00365479OtherMORAILROAD MEDICARE
16274OtherKSPREFERRED HEALTH SYSTEMS
10001878100OtherMOCOMMUNITY HEALTH PLAN
26162079OtherMOBLUE CROSS BLUE SHIELD KANSAS CITY
100352140FMedicaidKS
P00402322OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040302001108 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860389061 Reassigns benefits to 5 organizations
I20051029000065 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860389061 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Northstar Anesthesia of Kansas LLCGroup PAC ID 6901038819, 34 clinicians
Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians

Practice addresses (Care Compare)

11340 Nall Ave
Suite 100
Leawood, KS 66211-2485
Phone (888) 324-7432

1301 S Main St
Ottawa, KS 66067-3537
Phone (785) 229-8200

2861 NE Independence Ave
Suite 101
Lees Summit, MO 64064-2379
Phone (469) 863-9978

619 SW Corporate View Dr
Washburn Surgery Center
Topeka, KS 66615-1233
Phone (785) 232-6022

8929 Parallel Pkwy
Kansas City, KS 66112-1689
Phone (913) 596-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
154996MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Kansas, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 8, 2025 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Sep 16, 2025 Accepting new patients
Orthomed Staffing LLC CurrentSince Oct 1, 2025 Accepting new patients
Midwest Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2021 Accepting new patients
Excel Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2007 Accepting new patients
Digestive Health Specialists, LLC CurrentSince Oct 1, 2015 Accepting new patients
Professional Anesthetic Care Inc CurrentSince Apr 1, 2017 Accepting new patients
Kansas Pain Management Past Accepting new patients
Novamed Eye Surgery Center of Overland Park, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Northland Anesthesiology Inc Past Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 44)

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

8935 State Ave
Kansas City, KS 66112
Phone (816) 389-6030

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

11120 Tomahawk Creek Pkwy
Leawood, KS 66211
Phone (913) 559-2440

11261 Nall Ave
Ste 200
Leawood, KS 66211
Phone (913) 671-3290

20375 W 151st St
Ste 403
Olathe, KS 66061
Phone (913) 780-4300

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

11340 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (816) 786-4901

4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846

7230 W 129th St
Overland Park, KS 66213
Phone (913) 338-4440

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

619 SW Corporate Vw
Topeka, KS 66615
Phone (785) 232-6022

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

3800 S Whitney Ave
Independence, MO 64055
Phone 8164784887122

3800 S Whitney Ave
Ste 100
Independence, MO 64055

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1033126172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S 45TH ST",
            "address_2": "SUITE A",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661062527",
            "telephone_number": "913-721-3641",
            "fax_number": "913-721-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 FREDERICK AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063238",
            "telephone_number": "816-364-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Clay Edwards Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163254",
            "country_code": "US",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDE",
        "first_name": "KENNETH",
        "middle_name": "JUDE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "154996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS",
            "identifier": "145374",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914815543",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00365479",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "16274",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001878100",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS CITY",
            "identifier": "26162079",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100352140F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00402322",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.