Individual provider Active NPI

Miranda Kay Evans, CRNA

  • Certified Registered Nurse Anesthetist
  • Joplin, MO
National Provider Identifier
1144483579
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2002016340 Issued in MO
Practice address
1102 W 32ND St
Joplin, MO 64804-3503
Phone
(417) 347-1078
Fax
(417) 347-1079
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 2002016340 MO Primary

Addresses

Primary practice location

1102 W 32ND St
Joplin, MO 64804-3503

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-1078

Other practice location 1

29 NW 1st Ln
LaMar, MO 64759-8105
Phone (417) 681-5284

Other identifiers 1

IdentifierTypeStateIssuer
914068408MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081009000028 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214005867 Reassigns benefits to 13 organizations
I20190204002087 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214005867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-7875

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Feb 14, 2023 Accepting new patients
Cox Barton County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 14, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 3, 2024 Accepting new patients
Ozark Anesthesia Associates, Inc. CurrentSince Oct 8, 2021 Accepting new patients
Northstar Anesthesia of Missouri, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Mercy Hospital Aurora CurrentSince Jun 30, 2024 Accepting new patients
Joplin Ambulatory Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2012 Accepting new patients
Mercy Hospital Aurora CurrentSince Jun 30, 2024 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Aug 19, 2020 Accepting new patients
Anesthesia Associates of Joplin LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2017 Accepting new patients
Cox-Monett Hospital, Inc. Current Accepting new patients
Mercy Hospital Cassville CurrentSince Jul 1, 2025 Accepting new patients
Mercy Hospital Cassville CurrentSince Jul 1, 2025 Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1531 E 32nd St
Ste 6
Joplin, MO 64804
Phone (417) 627-9699

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

1000 E Primrose St
Ste 520
Springfield, MO 65807
Phone (417) 269-4557

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Organizations & group practices 15

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 15

Hospital & facility affiliations 9

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1144483579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043503",
            "telephone_number": "417-347-1078",
            "fax_number": "417-347-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 NW 1st Ln",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "MO",
            "postal_code": "647598105",
            "country_code": "US",
            "telephone_number": "417-681-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MIRANDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2002016340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914068408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.