Individual provider Active NPI

Brett L Cikanek, CRNA

  • Certified Registered Nurse Anesthetist
  • Shawnee Mission, KS
National Provider Identifier
1174873202
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557120 Issued in KS
Practice address
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone
(913) 676-2679
Fax
(913) 789-3191
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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 103356 KS
Certified Registered Nurse Anesthetist 367500000X 557120 KS Primary

Addresses

Primary practice location

9100 W 74TH St
Shawnee Mission, KS 66204-4004

Mailing address

9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2679

Other identifiers 3

IdentifierTypeStateIssuer
P01113641OtherKSRAILROAD MEDICARE
200966560AMedicaidKS
1174873202MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121018000631 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507016045 Reassigns benefits to 4 organizations
I20170915002933 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507016045 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians
Eye Care LLCGroup PAC ID 4385544600, shared by 2 NPIs, 49 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Kansas City Urology Care
Leawood, KS 66211-1363
Phone (913) 341-7985

11261 Nall Ave
Suite 200
Leawood, KS 66211-1696
Phone (913) 671-3290

11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230

4741 S Cochise Dr
Independence, MO 64055-6974
Phone (816) 478-1230

619 SW Corporate View Dr
Washburn Surgery Center
Topeka, KS 66615-1233
Phone (785) 232-6022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103356KSMDRegistered Nurse
557120KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care LLC CurrentSince Jan 4, 2025 Accepting new patients
Eye Care, LLC Current Accepting new patients
Eye Care, LLC CurrentSince Dec 21, 2024 Accepting new patients
Eye Care, LLC CurrentSince Dec 21, 2024 Accepting new patients
Digestive Health Specialists, LLC CurrentSince Sep 26, 2017 Accepting new patients
Excel Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2017 Accepting new patients
Consultants in Gastroenterology, PC PastSince Jul 11, 2011 Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

11120 Tomahawk Creek Pkwy
Leawood, KS 66211
Phone (913) 559-2440

11261 Nall Ave
Ste 200
Leawood, KS 66211
Phone (913) 671-3290

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

20375 W 151st St
Ste 403
Olathe, KS 66061
Phone (913) 780-4300

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

7230 W 129th St
Overland Park, KS 66213
Phone (913) 338-4440

619 SW Corporate Vw
Topeka, KS 66615
Phone (785) 232-6022

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

3800 S Whitney Ave
Ste 200
Independence, MO 64055

3800 S Whitney Ave
Ste 100
Independence, MO 64055

3800 S Whitney Ave
Independence, MO 64055
Phone 8164784887122

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

9401 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 296-9391

9601 NE 79th St
Kansas City, MO 64158

3601 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 207-2000

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

5202 Faraon St
#C
Saint Joseph, MO 64506
Phone (816) 233-2020

901 Heartland Rd
Ste 1820
Saint Joseph, MO 64506
Phone (816) 232-8877

5202 Faraon St
Saint Joseph, MO 64506
Phone (316) 835-2231

3201 Ashland Ave
Saint Joseph, MO 64506
Phone (816) 279-0079

3310 W 10th St
Sedalia, MO 65301
Phone (660) 829-2837

506 Burkarth Rd
Ste B
Warrensburg, MO 64093
Phone (660) 747-1888

706 N Burkarth Rd
Bldg A
Warrensburg, MO 64093
Phone (660) 747-8868

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1174873202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-676-2679",
            "fax_number": "913-789-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-676-2679",
            "fax_number": "913-789-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIKANEK",
        "first_name": "BRETT",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "103356",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01113641",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200966560A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174873202",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.