Individual provider Active NPI

Rachel M Mitchelson, CRNA

  • Certified Registered Nurse Anesthetist
  • Merriam, KS
National Provider Identifier
1174085765
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-557694-102 Issued in KS
Practice address
6815 Frontage Rd
Merriam, KS 66204-1398
Phone
(816) 478-4200
Fax
(816) 875-2598
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-118953-102 KS
Certified Registered Nurse Anesthetist 367500000X 43-557694-102 KS Primary

Addresses

Primary practice location

6815 Frontage Rd
Merriam, KS 66204-1398

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4200

Other identifiers 4

IdentifierTypeStateIssuer
P02324918OtherKSRAILROAD
60366011OtherKSBCBS KC
201252480AMedicaidKS
910081854MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730002799 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597091447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Kansas School of Med (KC/Wich/Sal), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

4901 College Blvd
Leawood, KS 66211-1602
Phone (913) 721-3387

Hospital & facility affiliations

  • Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-118953-102KSMDRegistered Nurse
43-557694-102KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC CurrentSince Aug 31, 2022 Accepting new patients
Midwest Anesthesia Associates, PA Registered Nurse CurrentSince Jul 29, 2019 Accepting new patients
Kansas City Gastroenterology & Hepatology Physicians Group, LLC PastSince Aug 25, 2024 Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

5101 College Blvd
Overland Park, KS 66211

6815 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 348-6725

6815 Frontage Rd
Ste B
Overland Park, KS 66204
Phone (816) 875-2604

6815 Frontage Rd
Shawnee Mission, KS 66204
Phone (913) 318-3800

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Interoperability endpoints

  • Direct secure messaging: rachel.mitchelson.1@12752.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1174085765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 FRONTAGE RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041398",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELSON",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-118953-102",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-557694-102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P02324918",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "60366011",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201252480A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910081854",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.