Amy Jo Masiongale, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2018044045 Issued in MO

Practice address

2100 SE Blue Pkwy
Lees Summit, MO 64063

Phone

(913) 428-2900

Fax

(913) 428-2951

NPI assigned

Nov 13, 2006

Last updated

Jan 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas City Orthopaedic Institute Hospital, Leawood, KS, CCN 170188

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732
  Medicare reassignment Care Compare group
• Anesthesia Resources of Augusta, LLC

  • Registered Nurse
  • Augusta, GA
  • NPI 1689689283
  NPD (past)
• Au Medical Associates Anesthesia Billing Services, LLC

  dba MCG Anesthesiology Financial Services

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1801843933
  NPD (past)
• Tristate Anesthesia Services LLC

  • Specialist
  • Evans, GA
  • NPI 1811238058
  NPD (past)
• Tristate Anesthesia Solutions LLC

  • Certified Registered Nurse Anesthetist
  • Evans, GA
  • NPI 1386887271

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Kansas City Orthopaedic Institute LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1457364408
  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1083785695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST STE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102126",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_2": "ROOM 2144",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-3873",
            "fax_number": "706-721-7763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASIONGALE",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-557644",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN101263",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2018044045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAN227",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE CMO",
            "identifier": "339446",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "550789920",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000731607D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000731607C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "430079467",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark W Martin, MD
• Michelle Martin, LPC
• Sarah Martin, M.S. CCC-SLP
• Heather Marie Maruska, PHARMD
• Kristin Marx, PHARMD
• Stacey Mason, LPC
• Ashlyn Massey
• Zachary Todd Masterson
• Tori Mathews, PA-C
• Paul Thomas Matlock, D.D.S.

• Certified Registered Nurse Anesthetist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.