Individual provider Active NPI

Amanda Rae McVey, BSN, CCRN

  • Certified Registered Nurse Anesthetist
  • Festus, MO
National Provider Identifier
1073010419
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2018019047 Issued in MO
Practice address
1400 US Highway 61
Festus, MO 63028-4100
Phone
(636) 933-1033
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2018019047 MO Primary
Medical-Surgical Registered Nurse 163WM0705X 2005022625 MO

Addresses

Primary practice location

1400 US Highway 61
Festus, MO 63028-4100

Mailing address

1122 Vicksburg Dr
Festus, MO 63028-3479
Phone (314) 608-0374

Other identifiers 1

IdentifierTypeStateIssuer
910057095MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620000821 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557616380 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acuity Anesthesiology LLCGroup PAC ID 6305992652, 22 clinicians

Practice addresses (Care Compare)

1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-1000

Hospital & facility affiliations

  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2005022625MOMDMedical-Surgical Registered Nurse
2018019047MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Current Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Acuity Anesthesiology LLC CurrentSince Jun 23, 2018 Accepting new patients
Gateway Anesthesia Group LLC CurrentSince Aug 12, 2023 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Aim Anesthesia LLC CurrentSince Dec 1, 2023 Accepting new patients
Orthomed Staffing LLC CurrentSince Jul 26, 2023 Accepting new patients
SW Anesthesia LLC CurrentSince Nov 10, 2020 Accepting new patients

Locations

865406 Reliable Pkwy
Chicago, IL 60686

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

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

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

1101 W Gannon Dr
Festus, MO 63028
Phone (636) 931-5997

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

200 NE 54th St
Unit 200
Kansas City, MO 64118

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 207-8939

10296 Big Bend Rd
Saint Louis, MO 63122
Phone (314) 543-5970

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530

5401 Veterans Memorial Pkwy
Ste 100
Saint Peters, MO 63376
Phone (636) 441-0906

Organizations & group practices 8

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1073010419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 VICKSBURG DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630283479",
            "telephone_number": "314-608-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-933-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVEY",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "BSN, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2018019047",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MO",
            "license": "2005022625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910057095",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.