Individual provider Active NPI

Dawn M. Pankratz, CRNA

  • Certified Registered Nurse Anesthetist
  • Olathe, KS
National Provider Identifier
1043391378
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54486 Issued in KS
Practice address
20375 W 151St St
Suite 306
Olathe, KS 66061-5306
Phone
(913) 782-2292
Fax
(913) 782-2381
NPI assigned
Oct 17, 2006
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1462812031 KS
Certified Registered Nurse Anesthetist 367500000X 54486 KS Primary

Addresses

Primary practice location

20375 W 151St St
Suite 306
Olathe, KS 66061-5306

Mailing address

PO Box 843018
Kansas City, MO 64184-3018
Phone (913) 782-2292

Other identifiers 2

IdentifierTypeStateIssuer
100311600BMedicaidKS
430046796OtherKSRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090319000310 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113084179 Reassigns benefits to 4 organizations
I20221011000300 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113084179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1462812031KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Saint Luke's Physician Group Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 6, 2022 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Oct 7, 2022 Accepting new patients
Midwest Anesthesia Associates, PA Registered Nurse CurrentSince Nov 19, 2023 Accepting new patients
Kansas University Physicians Inc CurrentSince Dec 1, 2021 Accepting new patients
Saint Lukes Physician Group Inc CurrentSince Dec 6, 2022 Accepting new patients
Gas Relief, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Kansas University Physicians Inc CurrentSince Dec 1, 2021 Accepting new patients
Overland Park Surgical Specialties LLC CurrentSince Nov 1, 2017 Accepting new patients
Freeman Neosho Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Johnson County Anesthesiologists, Chartered Past Accepting new patients
College Park Family Care Center PA Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

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

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

20375 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 782-2292

10550 Quivira Rd
Ste 360
Overland Park, KS 66215
Phone (913) 227-0565

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

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

10787 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 312-3710

11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

7840 W 165th St
Overland Park, KS 66223
Phone (913) 236-6455

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

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

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

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

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

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2301 Holmes St
Kansas City, MO 64108

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

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: dawn.pankratz@hca2.eclinicaldirectplus.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1043391378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843018",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843018",
            "telephone_number": "913-782-2292",
            "fax_number": "913-782-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "SUITE 306",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615306",
            "telephone_number": "913-782-2292",
            "fax_number": "913-782-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKRATZ",
        "first_name": "DAWN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1462812031",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100311600B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "430046796",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.