Individual provider Active NPI

Rick Abbott, CRNA

  • Certified Registered Nurse Anesthetist
  • Hays, KS
National Provider Identifier
1144313834
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54093 Issued in KS
Practice address
3701 Fairway Dr
Hays, KS 67601-1576
Phone
(785) 769-4416
NPI assigned
Oct 2, 2006
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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 54093 KS Primary

Addresses

Primary practice location

3701 Fairway Dr
Hays, KS 67601-1576

Mailing address

3701 Fariway Dr
Hays, KS 67601-1576
Phone (785) 621-4793

Other identifiers 3

IdentifierTypeStateIssuer
100244180FMedicaidKS
144837OtherKSBLUE SHIELD
54093OtherKSLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050412000452 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274570296 Reassigns benefits to 1 organization
I20160701000350 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274570296 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54093KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA CurrentSince Jun 6, 2016 Accepting new patients
Community Healthcare System, Inc CurrentSince Feb 17, 2022 Accepting new patients
Community Healthcare System, Inc CurrentSince Feb 17, 2022 Accepting new patients
Community Healthcare System, Inc Past Accepting new patients
Community Healthcare System, Inc Past Accepting new patients

Locations

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

19550 E 39th St S
Ste 100
Independence, MO 64057
Phone (816) 478-2600

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1144313834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 FARIWAY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011576",
            "telephone_number": "785-621-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 FAIRWAY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011576",
            "telephone_number": "785-769-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "RICK",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244180F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "144837",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "54093",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.