Individual provider Active NPI

Jay H. Kraenow, CRNA

  • Certified Registered Nurse Anesthetist
  • Shawnee Mission, KS
National Provider Identifier
1104893957
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55120 Issued in KS
Practice address
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone
(913) 676-2679
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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 1490504121 KS
Certified Registered Nurse Anesthetist 367500000X 55120 KS Primary

Addresses

Primary practice location

9100 W 74TH St
Shawnee Mission, KS 66204-4004

Mailing address

9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2679

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100423000804 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840327706 Reassigns benefits to 5 organizations
I20130211000252 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840327706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Topeka PAGroup PAC ID 5698675437, 54 clinicians

Practice addresses (Care Compare)

1500 SW 10H Ave
Topeka, KS 66604-1301

823 SW Mulvane St
Suite 210
Topeka, KS 66606-1679
Phone (785) 235-3451

Hospital & facility affiliations

  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
  • University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016

Merit-based Incentive Payment System (MIPS)

Final score
78.15 of 100Reported as group
Quality
74.3
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1490504121KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Surgery Center, LLC CurrentSince Mar 28, 2023 Accepting new patients
Kansas Anesthesiology Professionals PA CurrentSince Mar 28, 2023 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Nov 12, 2012 Accepting new patients
Vascular Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Midwest Anesthesia Associates, PA Registered Nurse Past Accepting new patients

Locations

5320 College Blvd
Overland Park, KS 66211
Phone (913) 279-0233

10995 Quivira Rd
Overland Park, KS 66210
Phone (913) 685-2211

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

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

10995 Quivira Rd
Ste 200
Overland Park, KS 66210

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

641 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 648-0101

2636 S Loop W
Ste 560
Houston, TX 77054

Interoperability endpoints

  • Direct secure messaging: jkraenow121881@stormontvaildirect.org

Organizations & group practices 6

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 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1104893957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-676-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-676-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAENOW",
        "first_name": "JAY",
        "middle_name": "H.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1490504121",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.