Individual provider Active NPI

Jamie Nafzinger, CAA

  • Anesthesiologist Assistant
  • Liberty, MO
National Provider Identifier
1114306933
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
2015017309 Issued in MO
Practice address
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone
(816) 781-7200
Fax
(816) 792-7196
NPI assigned
May 26, 2015
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 2015017309 MO Primary

Addresses

Primary practice location

2525 Glenn Hendren Dr
Liberty, MO 64068-9625

Mailing address

PO Box 804408
Kansas City, MO 64180-4408
Phone (913) 647-4100

Other identifiers 3

IdentifierTypeStateIssuer
55681015OtherMOBCBS KC
P01795995OtherMORAILROAD
1114306933MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818005304 MO Practitioner - Anesthesiology Assistant 0648585786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthetic Care IncGroup PAC ID 2365425865, 30 clinicians

Practice addresses (Care Compare)

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200

2529 Glenn Hendren Dr
Suite 100
Liberty, MO 64068-9602
Phone (816) 883-2401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
2015017309MOMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthetic Care Inc CurrentSince Nov 28, 2016 Accepting new patients
James F Piontek Inc PastSince Dec 13, 2020 Accepting new patients

Locations

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2529 Glenn Hendren Dr
Ste 100
Liberty, MO 64068
Phone (816) 781-7200

Organizations & group practices 3

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.

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1114306933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804408",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641804408",
            "telephone_number": "913-647-4100",
            "fax_number": "913-647-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689625",
            "telephone_number": "816-781-7200",
            "fax_number": "816-792-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFZINGER",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "MO",
            "license": "2015017309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "55681015",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01795995",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114306933",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.