Individual provider Active NPI

Alex William Quinn, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Lawrence, KS
National Provider Identifier
1114759370
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-558218-071 Issued in KS
Practice address
613 N 2ND St
Lawrence, KS 66044-1407
Phone
(785) 842-7026
NPI assigned
Aug 16, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 43-558218-071 KS Primary

Addresses

Primary practice location

613 N 2ND St
Lawrence, KS 66044-1407

Mailing address

9011 Grant St
Overland Park, KS 66212-3822
Phone (913) 963-1514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910002781 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052851649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Anaesthesia PAGroup PAC ID 6709776172, 34 clinicians

Practice addresses (Care Compare)

613 N 2ND St
Lawrence, KS 66044-1407
Phone (785) 842-7026

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43-558218-071KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Anaesthesia PA CurrentSince Sep 1, 2024 Accepting new patients

Locations

613 N 2nd St
Lawrence, KS 66044
Phone (785) 842-7026

Organizations & group practices 1

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1114759370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 GRANT ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123822",
            "telephone_number": "913-963-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N 2ND ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441407",
            "telephone_number": "785-842-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ALEX",
        "middle_name": "WILLIAM",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-558218-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.