Active NPI
Fara E Simons, CRNA
- Certified Registered Nurse Anesthetist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 55410
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 962-3030
- NPI assigned
- Aug 16, 2005
- Last updated
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 55410 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
8080 E Central Ave
Suite 250
Wichita, KS 67206-2361
Phone (316) 686-7327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200302760A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1124 W 21St St
100 Andover Ambulatory Surgery Center
Andover, KS 67002-5500
Phone (316) 440-3200
6100 E Central Ave
5 Team Vision Surgery Center
Wichita, KS 67208-4237
Phone (620) 584-2002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55410 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Anesthesia Team PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kansas Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kansas Spine Anesthesia Corporation PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1124 W 21st St
#100
Andover, KS 67002
Phone (316) 440-3200
1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187
1821 N Webb Rd
Wichita, KS 67206
Phone (316) 688-3960
3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000
3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000
6100 E Central Ave
Ste 5
Wichita, KS 67208
Phone (316) 681-2020
7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388
8080 E Central Ave
Ste 250
Wichita, KS 67206
Phone (316) 686-1564
9050 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 219-9651
9300 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 634-0404
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Andover, KS
- NPI 1346977295
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wichita, KS
- NPI 1013952126
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1720345911
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1164414348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 E CENTRAL AVE",
"address_2": "SUITE 250",
"city": "WICHITA",
"state": "KS",
"postal_code": "672062361",
"telephone_number": "316-686-7327",
"fax_number": "316-686-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "FARA",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "55410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200302760A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.