Individual provider Active NPI

Theresa A Sutton, CRNA

  • Certified Registered Nurse Anesthetist
  • Arkansas City, KS
National Provider Identifier
1144303157
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55558 Issued in KS
Practice address
216 West Birch
Sckrmc
Arkansas City, KS 67005
Phone
(620) 442-2500
Fax
(620) 441-5968
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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 55558 KS Primary

Addresses

Primary practice location

216 West Birch
Sckrmc
Arkansas City, KS 67005

Mailing address

1204 E Tenth St
Winfield, KS 67156
Phone (620) 222-7780

Other identifiers 1

IdentifierTypeStateIssuer
200419000AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070117000358 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991706988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 442-2500

Hospital & facility affiliations

  • SCK Health Hospital, Arkansas City, KS, CCN 170779

Merit-based Incentive Payment System (MIPS)

Final score
76.62 of 100Reported as group
Quality
69.57
Improvement activities
40
Cost
77.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55558KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
William Newton Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
South Central Kansas Regional Medical Center Current Accepting new patients
William Newton Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
Ict Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2023 Accepting new patients

Locations

6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798

1861 N Webb Rd
Wichita, KS 67206
Phone (316) 688-7500

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Organizations & group practices 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1144303157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E TENTH ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "67156",
            "telephone_number": "620-222-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WEST BIRCH",
            "address_2": "SCKRMC",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "67005",
            "telephone_number": "620-442-2500",
            "fax_number": "620-441-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200419000A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.