Active NPI
Barbara Bertram, CRNA
- Certified Registered Nurse Anesthetist
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 053636
- Practice address
- 500 Medical Dr
Wentzville, MO 63385-3421 - Phone
- (636) 327-1362
- NPI assigned
- Jun 22, 2005
- Last updated
- May 2, 2008
- Sex
- Female
- 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 | 053636 | MO | Primary |
Addresses
Primary practice location
500 Medical Dr
Wentzville, MO 63385-3421
Mailing address
1324 Missouri Ave
Kirkwood, MO 63122-1018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 918804204 | Medicaid | MO | |
| P00281582 | Other | MO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone (314) 453-0600
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053636 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreamland Uap Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metro-West Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ambulatory Anesthesia Services of St. Charles, LLC | Current | Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
14825 North Outer 40 Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 898-4695
400 S Woods Mill Rd
Ste 140
Chesterfield, MO 63017
Phone (314) 485-1101
100 Village Sq
Hazelwood, MO 63042
Phone (314) 355-4010
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
4203 S Cloverleaf Dr
Saint Peters, MO 63376
Phone (636) 346-6051
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Peters, MO
- NPI 1467634097
-
- Certified Registered Nurse Anesthetist
- Hazelwood, MO
- NPI 1073919494
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1225073828
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285674754
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
dba SSM Health DePaul Hospital - St. Louis
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
dba SSM Health St Joseph Hospital - Lake Saint Louis
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1245236504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 MISSOURI AVE",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631221018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEDICAL DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853421",
"telephone_number": "636-327-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAM",
"first_name": "BARBARA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "053636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "918804204",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00281582",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.