Active NPI
Kenneth Bates, CRNA
- Certified Registered Nurse Anesthetist
- Stillwater, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 120925
- Practice address
- 1323 W 6TH Ave
Stillwater, OK 74074-4306 - Phone
- (405) 372-1480
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 120925 | OK | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 1380744092 | KS |
Addresses
Primary practice location
1323 W 6TH Ave
Stillwater, OK 74074-4306
Mailing address
PO Box 720006
Norman, OK 73070-4006
Phone (405) 372-1480
Other practice location 1
1700 SW 7th St
Topeka, KS 66606-1674
Phone (785) 295-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000145009 | Other | KS | BLUE CROSS OF KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770
Hospital & facility affiliations
- Stillwater Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380744092 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Anesthesia Services Medical Group of Topeka, PA | Past | Accepting new patients | |
| Anesthesia Services of Omaha LLC | Past | Accepting new patients |
Locations
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
- Pain Medicine (Anesthesiology) Physician
- Topeka, KS
- NPI 1811938665
-
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1992127609
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1174632152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720006",
"city": "NORMAN",
"state": "OK",
"postal_code": "730704006",
"telephone_number": "405-372-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744306",
"telephone_number": "405-372-1480"
}
],
"practiceLocations": [
{
"address_1": "1700 SW 7th St",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666061674",
"country_code": "US",
"telephone_number": "785-295-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "KENNETH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "120925",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "1380744092",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF KS",
"identifier": "0000145009",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.