Active NPI
Robert Charles Mix, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2020013534
- Practice address
- One Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-2568
- Fax
- (855) 903-0985
- NPI assigned
- May 22, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 14-125308-072 | KS | |
| Registered Nurse | 163W00000X | 1215550454 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 43-557783-072 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 2020013534 | MO | Primary |
Addresses
Primary practice location
One Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other practice location 1
1318 E 104th St
Kansas City, MO 64131-4504
Phone (816) 256-5200
Other practice location 2
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 932-3679
Other names 1
- Chuck Mix
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5097
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
6815 Frontage Rd
Suite B
Overland Park, KS 66204-1555
Phone (913) 721-3387
706 N Burkarth Rd
Warrensburg, MO 64093-9303
Phone (660) 747-5444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-125308-072 | KS | MD | Registered Nurse |
| 1215550454 | MO | MD | Registered Nurse |
| 43-557783-072 | KS | MD | Certified Registered Nurse Anesthetist |
| 2020013534 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Dynamos Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| St Lukes East Anesthesia Services,P.C. | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Saint Luke's Physician Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Rem Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ascentist Physicians Group, LLC | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients |
Locations (25 of 33)
2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
3550 S 4th St
Leavenworth, KS 66048
Phone (800) 903-2088
4801 College Blvd
Fl 2
Leawood, KS 66211
4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
6815 Frontage Rd
Ste B
Overland Park, KS 66204
Phone (816) 875-2604
7111 W 151st St
Overland Park, KS 66223
Phone (785) 403-0405
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
15933 W 65th St
Shawnee, KS 66217
Phone (913) 239-0703
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111
4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451
1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695
1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
19550 E 39th St S
Ste 100
Independence, MO 64057
Phone (816) 478-2600
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
1318 E 104th St
Kansas City, MO 64131
Phone (816) 256-5200
2301 Holmes St
Kansas City, MO 64108
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
Organizations & group practices 15
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.
-
dba Ascentist Healthcare
- Otolaryngology Physician
- Lee's Summit, MO
- NPI 1649206319
KS
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lee's Summit, MO
- NPI 1649283177
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
MO
-
- Anesthesiology Physician
- Leavenworth, KS
- NPI 1639719180
MO, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Shawnee, KS
- NPI 1417609405
Nurse Anesthetist, Certified Registered
-
dba Golden Valley Medical - Clinton
- Rural Health Clinic/Center
- Clinton, MO
- NPI 1003873266
-
dba University Health
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
dba University Physicians Specialty Care Associates
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
dba GVMH Medical East
- Clinic/Center
- Clinton, MO
- NPI 1396379830
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1215550454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-882-2568",
"fax_number": "855-903-0985"
}
],
"practiceLocations": [
{
"address_1": "1318 E 104th St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641314504",
"country_code": "US",
"telephone_number": "816-256-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 NE Saint Lukes Blvd",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640866000",
"country_code": "US",
"telephone_number": "816-932-3679",
"fax_number": "816-932-9089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIX",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-22",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-125308-072",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "1215550454",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557783-072",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2020013534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHUCK",
"last_name": "MIX",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.