Active NPI
Geralyn Martin, CRNA
- Certified Registered Nurse Anesthetist
- Saint Joseph, MO
National Provider Identifier
1043253560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 54483
- Practice address
- 4510 Frederick Ave
Saint Joseph, MO 64506-3238 - Phone
- (816) 364-9992
- NPI assigned
- Jun 13, 2006
- Last updated
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 54483 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 54483 | KS | Primary |
Addresses
Primary practice location
4510 Frederick Ave
Saint Joseph, MO 64506-3238
Mailing address
11399 170TH St
Valley Falls, KS 66088-4094
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00455330 | Other | KS | RAILROAD MEDICARE |
| 104325356000 | Other | MO | COMMUNITY HEALTH PLAN |
| 146035 | Other | KS | BLUE CROSS BLUE SHIELD KANSAS |
| 8167 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 917024705 | Medicaid | MO | |
| 200536930A | Medicaid | KS | |
| 39351017 | Other | MO | BLUE CROSS BLUE SHIELD KANSAS CITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54483 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novamed Eye Surgery Center of Overland Park, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Excel Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Consultants in Gastroenterology, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Independence, MO
- NPI 1932189768
-
- Certified Registered Nurse Anesthetist
- Leawood, KS
- NPI 1366559130
Nurse Anesthetist, Certified Registered
-
dba Novamed Eye Surgery Center OP
- Certified Registered Nurse Anesthetist
- Overland Park, KS
- NPI 1285755330
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1043253560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11399 170TH ST",
"city": "VALLEY FALLS",
"state": "KS",
"postal_code": "660884094"
},
{
"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": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GERALYN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "54483",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "54483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00455330",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "104325356000",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KANSAS",
"identifier": "146035",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH SYSTEMS",
"identifier": "8167",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "917024705",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200536930A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KANSAS CITY",
"identifier": "39351017",
"state": "MO"
}
],
"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 Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.