Angelique Irene Carroll

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2016019530 Issued in MO

Practice address

19600 E 39TH St S
Independence, MO 64057-2301

Phone

(913) 428-2900

Fax

(913) 428-2951

NPI assigned

May 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Angelique Irene Davis Former name

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians

St Lukes East Anesthesia Services PCGroup PAC ID 1850333477, 44 clinicians

Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

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

Outpatient Anesthesia Specialists LLCGroup PAC ID 8325930803, 11 clinicians

Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
• Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
• Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

58.17

Promoting interoperability

100

Improvement activities

40

Cost

75.92

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Outpatient Anesthesia Specialists LLC

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
  • NPI 1194828673

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Saint Luke'S Physician Group Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• St Lukes East Anesthesia Services,P.C.

  • Anesthesiology Physician
  • Lees Summit, MO
  • NPI 1649283177
  Medicare reassignment Care Compare group NPD
• The Curators of the University of Missouri

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1235126921
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732

  MO

  Medicare reassignment Care Compare group NPD
• Orthomed Staffing LLC

  • Anesthesiology Physician
  • Addison, TX
  • NPI 1225514276

  KS

  Medicare reassignment Care Compare group NPD
• Guardian Anesthesia Specialists, LLC

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
  • NPI 1740611789
  Medicare reassignment
• Ketamine and IV Therapy Clinic of Nwa LLC

  • Certified Registered Nurse Anesthetist
  • Lowell, AR
  • NPI 1609654847

  MO

  Medicare reassignment
• Curators of the University of Missouri

  • Durable Medical Equipment & Medical Supplies
  • Columbia, MO
  • NPI 1356963201
  NPD

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

• Curators of the University of Missouri

  • General Acute Care Hospital
  • Jefferson City, MO
  • NPI 1174597892
  Care Compare affiliation
• Curators of the University of Missouri

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1699769901
  Care Compare affiliation
• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  Care Compare affiliation
• Adventhealth South Overland Park, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1316536253
  Care Compare affiliation

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1104273317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST",
            "address_2": "SUITE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102144",
            "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": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ANGELIQUE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2016019530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIQUE",
            "last_name": "DAVIS",
            "middle_name": "IRENE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carmel Hills Mo Consulting LLC
• Jessica Carney, COTA
• Karmel L Carothers, M.D.
• Laurie Lynn Carpenter, LCSW, LSCSW
• Lauren L Carr, DDS
• Brandy Louise Carroll, RN
• Danielle A Carroll
• Kenneth Carroll, RN, NP-C
• Dejaneara-Jeannette Carter, LMSW
• Cartwright Chiropractic & Acupuncture, P.C.

• Certified Registered Nurse Anesthetist in Independence, MO
• Providers in Independence, 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 Sep 12, 2016; 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.