Individual provider Active NPI

Aaron St. Vrain, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1265412704
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54694 Issued in KS
Practice address
1515 S Clifton Ave
#200
Wichita, KS 67218-2900
Phone
(316) 618-1515
Fax
(316) 618-8635
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R0096002 OK
Certified Registered Nurse Anesthetist 367500000X 54694 KS Primary

Addresses

Primary practice location

1515 S Clifton Ave
#200
Wichita, KS 67218-2900

Mailing address

1515 S Clifton Ave
#200
Wichita, KS 67218-2900
Phone (316) 618-1515

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090904000053 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022163567 Reassigns benefits to 2 organizations
I20120321000689 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022163567 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four States Anesthesia Services LLCGroup PAC ID 8729973284, 32 clinicians

Practice addresses (Care Compare)

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 540-7113

444 Four States Dr
Suite 2
Galena, KS 66739-4325
Phone (620) 783-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54694KSMDCertified Registered Nurse Anesthetist
R0096002OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coffey County Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 19, 2022 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jun 1, 2024 Accepting new patients
Four States Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Coffey County Hospital Nurse Anesthetist, Certified Registered Current Accepting new patients
Coffey County Hospital CurrentSince Nov 19, 2022 Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
Kansas Professional Anesthesia and Pain Management Specialists, P.a. PastSince May 14, 2001 Accepting new patients

Locations

801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

444 Four States Dr
Ste 2
Galena, KS 66739
Phone (620) 783-4000

1619 K66
Galena, KS 66739
Phone (417) 347-7272

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

Organizations & group practices 8

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.

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1265412704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-618-1515",
            "fax_number": "316-618-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-618-1515",
            "fax_number": "316-618-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. VRAIN",
        "first_name": "AARON",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0096002",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.