Individual provider Active NPI

Carmeta Denise Shaw-Jones, CRNA

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
National Provider Identifier
1205932308
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
108387 Issued in MO
Practice address
Epic Eye Surgery Center, LLC
11261 Nall Avenue #200
Leawood, KS 66211
Phone
(913) 671-3290
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 43-54461-011 KS
Certified Registered Nurse Anesthetist 367500000X 108387 MO Primary

Addresses

Primary practice location

Epic Eye Surgery Center, LLC
11261 Nall Avenue #200
Leawood, KS 66211

Mailing address

Excel Anesthesia, LLC
13851 W. 63Rd St., Suite 433
Shawnee, KS 66216-3800
Phone (813) 721-3641

Other practice location 1

Discover Vision
11500 Granada Ln #200
Leawood, KS 66211
Phone (913) 671-3290

Other identifiers 2

IdentifierTypeStateIssuer
100251390DMedicaidKS
1205932308MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031118001136 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759295199 Reassigns benefits to 2 organizations
I20080721000588 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759295199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LLCGroup PAC ID 4385544600, shared by 2 NPIs, 49 clinicians
Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians

Practice addresses (Care Compare)

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

7230 W 129TH St
Overland Park, KS 66213-2624
Phone 9133384440224

9401 N Oak Trfy
Suite 200
Kansas City, MO 64155-3393
Phone (816) 478-1230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care, LLC CurrentSince Aug 16, 2024 Accepting new patients
Discover Vision Surgery & Laser Center LLC CurrentSince Aug 16, 2024 Accepting new patients
Eye Surgery Center-Northland LLC CurrentSince Aug 16, 2024 Accepting new patients
Eye Care, LLC CurrentSince Aug 16, 2024 Accepting new patients
Eye Care LLC CurrentSince Aug 16, 2024 Accepting new patients
Eye Care, LLC Current Accepting new patients
Midwest Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. Past Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Blue Springs Past Accepting new patients
Central Kansas Anesthesia PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Westglen Endoscopy Center LLC Past Accepting new patients

Locations

11500 Granada St
Ste 100
Leawood, KS 66211

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

4801 S Cliff Ave
Ste 100
Independence, MO 64055
Phone (816) 350-4536

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

9401 N Oak Trfy
Ste 124
Kansas City, MO 64155

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

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

Interoperability endpoints

  • Direct secure messaging: carmetta.shawcrna.p1@direct.dvc.nextgenshare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1205932308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXCEL ANESTHESIA, LLC",
            "address_2": "13851 W. 63RD ST., SUITE 433",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662163800",
            "telephone_number": "813-721-3641",
            "fax_number": "913-721-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EPIC EYE SURGERY CENTER, LLC",
            "address_2": "11261 NALL AVENUE #200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-671-3290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Discover Vision",
            "address_2": "11500 Granada Ln #200",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "66211",
            "country_code": "US",
            "telephone_number": "913-671-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW-JONES",
        "first_name": "CARMETA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-54461-011",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "108387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251390D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205932308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.