Individual provider Active NPI

Lere Shaver, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, KS
National Provider Identifier
1063508448
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55428 Issued in KS
Practice address
8929 Parallel Pkwy
Kansas City, KS 66112
Phone
(913) 596-4100
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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 55428 KS Primary

Addresses

Primary practice location

8929 Parallel Pkwy
Kansas City, KS 66112

Mailing address

940 West Port Plaza
Ste 270
St Louis, MO 63146
Phone (314) 453-0600

Other identifiers 1

IdentifierTypeStateIssuer
200354500AMedicaidKS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050215000452 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981656261 Reassigns benefits to 1 organization
I20100308000502 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981656261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guardian Anesthesia Specialists LLCGroup PAC ID 5092932673, 26 clinicians
Northstar Anesthesia of Kansas LLCGroup PAC ID 6901038819, 34 clinicians

Practice addresses (Care Compare)

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 420-3939

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

Hospital & facility affiliations

  • Providence Medical Center Hospital, Kansas City, KS, CCN 170146

Merit-based Incentive Payment System (MIPS)

Final score
96.55 of 100Reported as group
Quality
86.52
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55428KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Anesthesia Specialists, LLC Nurse Anesthetist, Certified Registered CurrentSince May 22, 2025 Accepting new patients
Northstar Anesthesia of Kansas, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2014 Accepting new patients
Topeka Anesthesia & Pain Treatment, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology, Chartered Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

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

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

5151 NW 88th St
Kansas City, MO 64154
Phone (816) 420-3939

2111 N Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 364-6416

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1063508448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WEST PORT PLAZA",
            "address_2": "STE 270",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-453-0600",
            "fax_number": "314-453-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66112",
            "telephone_number": "913-596-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "LERE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200354500A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.