Decarla Bush
Individual provider Active NPI Certified Registered Nurse Anesthetist · Kansas City, MO
NPI 1174375356 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1174375356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2024029080 (MO)
- Practice address
- 4401 Wornall Rd
Kansas City, MO 64111-3220 - Phone
- (816) 932-2000
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Missouri, Kansas City, School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northstar Anesthesia of Missouri LLC
Capital Anesthesia Solutions of Missouri LLC
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729
2316 E Meyer Blvd
HCA Research Medical Center
Kansas City, MO 64132-1136
Phone (816) 276-4000
Hospital & facility affiliations
- Research Medical Center
- Mercy Hospital Joplin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730001284 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062959802 | Reassigns benefits to 2 organizations |
| I20250318001241 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062959802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Anesthesia Solutions of Missouri, LLC | Current |
Accepting new patients | |
| Northstar Anesthesia of Missouri, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
Interoperability endpoints
- dbush662256@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2024029080 | MO | Yes |
Addresses
Primary practice location
4401 Wornall Rd
Kansas City, MO 64111-3220
Mailing address
2905 NW 4TH St
Blue Springs, MO 64014-1221
Phone (816) 885-8300
Other providers in Kansas City, MO
- Stephanie Burton
- Aimee Lee Bury
- Wyatt Bury
- Erika L Busby
- Sara Busby
- Kelly Bush
- Michelle Bushey
- Jane Buss
- Valerie Bussard
- Amanda Leann Bustamante
All providers in Kansas City, MO · Certified Registered Nurse Anesthetist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.