Individual provider Active NPI

Robert Charles Mix, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, MO
National Provider Identifier
1215550454
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2020013534 Issued in MO
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

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200528002941 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214358274 Reassigns benefits to 9 organizations
I20200707002474 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214358274 Reassigns benefits to 5 organizations

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
St Lukes East Anesthesia Services PCGroup PAC ID 1850333477, 44 clinicians
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

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

LicenseStateTypeSpecialty
14-125308-072KSMDRegistered Nurse
1215550454MOMDRegistered Nurse
43-557783-072KSMDCertified Registered Nurse Anesthetist
2020013534MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Feb 23, 2026 Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Curators of the University of Missouri CurrentSince Jan 3, 2025 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Dec 15, 2025 Accepting new patients
St Lukes East Anesthesia Services,P.C. CurrentSince Sep 22, 2025 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Dec 15, 2025 Accepting new patients
Saint Luke's Physician Group Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2020 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Feb 23, 2026 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Jan 1, 2021 Accepting new patients
Rem Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Ascentist Physicians Group, LLC CurrentSince May 1, 2025 Accepting new patients
The Curators of the University of Missouri CurrentSince Jan 3, 2025 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.

View all 15

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": "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.

Verify at the official NPI Registry.