Individual provider Active NPI

Stephen Andrew Carpenter, CRNA

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
National Provider Identifier
1215202197
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
TMP144722 Issued in KS
Practice address
8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone
(913) 428-2900
NPI assigned
Mar 12, 2012
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X TMP144722 KS Primary
Certified Registered Nurse Anesthetist 367500000X 353847-4406 UT
Registered Nurse 163W00000X RN 9288567 FL

Addresses

Primary practice location

8717 W 110TH St Ste 600
Overland Park, KS 66210-2126

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other practice location 1

126 White Sage Ave
Delta, UT 84624-8937
Phone (435) 864-5591

Other practice location 2

674 S Highway 99
Fillmore, UT 84631-5013
Phone (435) 743-5591

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160108002411 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749444271 Reassigns benefits to 1 organization
I20230815003254 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749444271 Reassigns benefits to 2 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
Sevier Valley Anesthesia Group LLPGroup PAC ID 5991855389, 11 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1000 N Main St
Richfield, UT 84701-2061
Phone (435) 893-4100

126 White Sage Ave
Delta Community Hospital Phys GRP
Delta, UT 84624-8937
Phone (435) 864-5591

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 9288567FLMDRegistered Nurse
TMP144722KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Associates, PC CurrentSince Jan 1, 2016 Accepting new patients
Sevier Valley Anesthesia Group, LLP Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Anesthesia Associates of Kansas City PA Past Accepting new patients

Locations

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1215202197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST STE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102126",
            "telephone_number": "913-428-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 White Sage Ave",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "UT",
            "postal_code": "846248937",
            "country_code": "US",
            "telephone_number": "435-864-5591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "674 S Highway 99",
            "address_purpose": "LOCATION",
            "city": "Fillmore",
            "state": "UT",
            "postal_code": "846315013",
            "country_code": "US",
            "telephone_number": "435-743-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "TMP144722",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "353847-4406",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9288567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.