Individual provider Active NPI

Kayla Marie Brattin, RN, BSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Galena, KS
National Provider Identifier
1164267779
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2025019906 Issued in MO
Practice address
444 Four States Dr Ste 2
Galena, KS 66739-4325
Phone
(620) 783-4000
NPI assigned
Jun 26, 2024
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 2025019906 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

444 Four States Dr Ste 2
Galena, KS 66739-4325

Mailing address

6731 Raccoon Rd
Granby, MO 64844-7111
Phone (417) 592-4069

Other names 1

  • Kayla Mason Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250722004060 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638685027 Reassigns benefits to 5 organizations
I20250723000916 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638685027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four States Anesthesia Services LLCGroup PAC ID 8729973284, 32 clinicians

Practice addresses (Care Compare)

1905 W 32ND St
Suite 201
Joplin, MO 64804-1512
Phone (417) 206-7900

444 Four States Dr
Suite 2
Galena, KS 66739-4325
Phone (620) 783-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2025019906MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Jul 1, 2025 Accepting new patients
Mercy Hospital Carthage 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

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.

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1164267779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 RACCOON RD",
            "city": "GRANBY",
            "state": "MO",
            "postal_code": "648447111",
            "telephone_number": "417-592-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR STE 2",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394325",
            "telephone_number": "620-783-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTIN",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "RN, BSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2025019906",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "MASON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galena, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.