Individual provider Active NPI

Jeffrey Bradford Enriquez Casperson, RN

  • Certified Registered Nurse Anesthetist
  • North Kansas City, MO
National Provider Identifier
1124690201
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2023008885 Issued in MO
Practice address
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone
(816) 691-2021
Fax
(816) 346-7690
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 557910 KS
Certified Registered Nurse Anesthetist 367500000X 2023008885 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254

Mailing address

9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655

Other practice location 1

823 SW Mulvane St
Topeka, KS 66606-1764
Phone (785) 235-3451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000137 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880082551 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Continent Anesthesiology Chartered 24 clinicians

Practice addresses (Care Compare)

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 789-8444

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Kingman Healthcare Center Hospital, Kingman, KS, CCN 171378

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minneola District Hospital NBR 2 Current Accepting new patients
Mid-Continent Anesthesiology Chartered CurrentSince Sep 21, 2021 Accepting new patients
Medicine Lodge Memorial Hospital CurrentSince Jun 22, 2024 Accepting new patients
Ninnescah Valley Health Systems, Inc. CurrentSince Apr 6, 2025 Accepting new patients
Meritas Health Corporation CurrentSince Apr 3, 2023 Accepting new patients
Medicine Lodge Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Medicine Lodge Memorial Hospital CurrentSince Jun 22, 2024 Accepting new patients
Ninnescah Valley Health Systems, Inc. Current Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Apr 3, 2023 Accepting new patients
Wichita Ambulatory Anesthesia Providers LLC CurrentSince May 1, 2022 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Bailey Holdings LLC Past Accepting new patients
Cancer Center of Kansas, P.a. Past Accepting new patients

Locations

750 W D Ave
Kingman, KS 67068
Phone (620) 532-0295

710 N Walnut St
Medicine Lodge, KS 67104
Phone (620) 886-3771

212 Main St
Minneola, KS 67865
Phone (620) 885-4202

8200 W Central Ave
Ste 3
Wichita, KS 67212
Phone (316) 491-6300

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

9050 E 29th St N
Wichita, KS 67226
Phone (316) 722-6260

818 N Emporia St
Ste 108
Wichita, KS 67214
Phone 31626244674296

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Organizations & group practices 14

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.

View all 14

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1124690201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 SW Mulvane St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061764",
            "country_code": "US",
            "telephone_number": "785-235-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASPERSON",
        "first_name": "JEFFREY BRADFORD",
        "middle_name": "ENRIQUEZ",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557910",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2023008885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.