Active NPI
Charlotte M Cowan, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Kirksville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 121063
- Practice address
- 800 W Jefferson St
Northeast Regional Medical Center
Kirksville, MO 63501-1443 - Phone
- (660) 785-1000
- Fax
- (660) 785-1237
- NPI assigned
- Feb 28, 2007
- 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 | 121063 | MO | Primary |
Addresses
Primary practice location
800 W Jefferson St
Northeast Regional Medical Center
Kirksville, MO 63501-1443
Mailing address
PO Box 702
Kirksville, MO 63501-0702
Phone (660) 785-1000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0976845 | Medicaid | IA | |
| 8298 | Other | MO | HEALTHCARE USA (GROUP) |
| 918400904 | Medicaid | MO | |
| CG4336 | Other | RAILROAD MEDICARE | |
| P00130500 | Other | RAILROAD MEDICARE | |
| 80177 | Other | MO | HEALTHCARE USA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
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)
1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.1 of 100
- Promoting interoperability
- 86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Orthopaedic Group, LLP | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Columbia Orthopaedic Group, LLP | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Missouri, LLC | Current | Accepting new patients |
Locations
1410 Forum Katy Pkwy
Ste 102
Columbia, MO 65203
Phone (573) 397-6556
1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402
1 S Keene St
Ste 100
Columbia, MO 65201
Phone (573) 499-6501
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
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.
-
- Orthopaedic Surgery Physician
- Columbia, MO
- NPI 1851392542
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Osage Beach, MO
- NPI 1942986484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1194853515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 702",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635010702",
"telephone_number": "660-785-1000",
"fax_number": "660-785-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W JEFFERSON ST",
"address_2": "NORTHEAST REGIONAL MEDICAL CENTER",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635011443",
"telephone_number": "660-785-1000",
"fax_number": "660-785-1237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "CHARLOTTE",
"middle_name": "M",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "121063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0976845",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA (GROUP)",
"identifier": "8298",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "918400904",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG4336",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00130500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "80177",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.