Active NPI
Melissa Liticia Crossette, CRNA
- Certified Registered Nurse Anesthetist
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2012001253
- Practice address
- 19600 E 39TH St S
Independence, MO 64057-2301 - Phone
- (316) 651-6689
- NPI assigned
- Dec 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2011036278 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 2012001253 | MO | Primary |
Addresses
Primary practice location
19600 E 39TH St S
Independence, MO 64057-2301
Mailing address
1600 N 2ND St
Clinton, MO 64735-1297
Phone (660) 885-5511
Other practice location 1
1600 N 2nd St
Clinton, MO 64735-1297
Phone (660) 885-5511
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171
Hospital & facility affiliations
- Golden Valley Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients |
Locations
8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910
1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Clinton, MO
- NPI 1003873266
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
MO
-
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1265700819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N 2ND ST",
"city": "CLINTON",
"state": "MO",
"postal_code": "647351297",
"telephone_number": "660-885-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19600 E 39TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572301",
"telephone_number": "316-651-6689"
}
],
"practiceLocations": [
{
"address_1": "1600 N 2nd St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MO",
"postal_code": "647351297",
"country_code": "US",
"telephone_number": "660-885-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSSETTE",
"first_name": "MELISSA",
"middle_name": "LITICIA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-11",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2011036278",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2012001253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.