Active NPI
Mitchell L Simmons, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 153380
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2640 - Phone
- (816) 404-1100
- NPI assigned
- Aug 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 153380 | MO | Primary |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2640
Mailing address
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1100
Other practice location 1
7900 Holmes Rd
Kansas City, MO 64131-2112
Phone (816) 404-9382
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 916875305 | Medicaid | MO | |
| 36754011 | Other | MO | BCBS OF KANSAS CITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Midwest Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| St Joseph Anesthesia Services, P.C. | Past | Accepting new patients | |
| Truman Medical Centers, Inc. | Past | Accepting new patients | |
| St Lukes East Anesthesia Services,P.C. | Past | Accepting new patients |
Locations
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
7900 Lees Summit Rd
Ste 374
Kansas City, MO 64139
2301 Holmes St
Kansas City, MO 64108
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Nurse Anesthetist, Certified Registered
-
- Neurological Surgery Physician
- Kansas City, MO
- NPI 1215105721
-
- Emergency Medicine Physician
- Kansas City, MO
- NPI 1396913802
-
- Ophthalmology Physician
- Kansas City, MO
- NPI 1548438047
-
- Body Imaging Physician
- Kansas City, MO
- NPI 1548439680
-
- Anesthesiology Physician
- Kansas City, MO
- NPI 1588832091
-
- Otolaryngology Physician
- Kansas City, MO
- NPI 1184893224
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
- NPI 1225773401
-
- Pain Medicine (Anesthesiology) Physician
- Kansas City, MO
- NPI 1659384188
-
- Anesthesiology Physician
- Lees Summit, MO
- NPI 1649283177
-
- Home Health Agency
- Kansas City, MO
- NPI 1487797759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1215044623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082640",
"telephone_number": "816-404-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082640",
"telephone_number": "816-404-1100"
}
],
"practiceLocations": [
{
"address_1": "7900 Holmes Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641312112",
"country_code": "US",
"telephone_number": "816-404-9382",
"fax_number": "816-404-7142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "MITCHELL",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "153380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "916875305",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS CITY",
"identifier": "36754011",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.