Timothy Brannon, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

148622 Issued in MO

Practice address

615 W Nursery St
Butler, MO 64730-1840

Phone

(660) 200-7000

Fax

(660) 200-7015

NPI assigned

May 18, 2006

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, KS, TN3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Medical Center Hospital, Liberal, KS, CCN 170068
• Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034

Merit-based Incentive Payment System (MIPS)

Final score

83.79 of 100Reported as group

Quality

68.45

Promoting interoperability

100

Improvement activities

40

Cost

72.27

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.brannon.1@15058.direct.athenahealth.com

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.

• Bates County Memorial Hospital

  dba BCMH Surgical Care Clinic

  • Surgery Physician
  • Butler, MO
  • NPI 1740311471
  Medicare reassignment Care Compare group NPD
• Southwest Medical Center

  dba Southwest Professional Physicians

  • Surgery Physician
  • Liberal, KS
  • NPI 1144493040
  Medicare reassignment Care Compare group NPD
• Capital Anesthesia Solutions of Missouri LLC

  • Anesthesiology Physician
  • Rombauer, MO
  • NPI 1770185472

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Medicare reassignment NPD
• East Memphis Anesthesia Services PLC

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1578592663
  Medicare reassignment NPD
• Bates County Memorial Hospital

  dba Family Care Clinic Rich Hill

  • Rural Health Clinic/Center
  • Rich Hill, MO
  • NPI 1477009959
  NPD
• Bates County Memorial Hospital

  • General Acute Care Hospital
  • Butler, MO
  • NPI 1770536740
  NPD
• Cass Regional Medical Center

  dba Pleasant Hill Medical Center

  • Rural Health Clinic/Center
  • Pleasant Hill, MO
  • NPI 1538159058
  NPD
• Mawd Pathologists, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1376209130
  NPD
• Mawd Pathology Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1033108519
  NPD
• Southwest Medical Center

  dba SWMC Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Liberal, KS
  • NPI 1285503078
  NPD
• Southwest Medical Center

  dba Southwest Medical Center Anesthesia

  • Anesthesiology Physician
  • Liberal, KS
  • NPI 1568979557
  NPD

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

• Bates County Memorial Hospital

  • General Acute Care Hospital
  • Butler, MO
  • NPI 1770536740
  Care Compare affiliation
• Bates County Memorial Hospital Ambulance

  • Land Ambulance
  • Butler, MO
  • NPI 1356448740

  Hospital

  Care Compare affiliation
• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1124071113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7000",
            "fax_number": "660-200-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7000",
            "fax_number": "660-200-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "148622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "919038307",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912724317",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bates County Memorial Hospital Pharmacy
• Michelle R. Bearce, PLPC
• Jeffrey W Bissing, D.O.
• Body Beautiful
• Melissa Boerema, D.D.S
• Breezy Meadows, LLC
• Breezy Operations LLC (Butler Center for Rehabilitation and Healthcare)
• Miranda Leigh Bridges, LPC
• Bristol Care, Inc.
• Emily Brucks, D.C.

• Certified Registered Nurse Anesthetist in Butler, MO
• Providers in Butler, 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 Jun 3, 2008; 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.