Individual provider Active NPI

Jan C Rowlett, RN ARNP CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Scott, KS
National Provider Identifier
1285619767
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54279 Issued in KS
Practice address
916 Highway 69
Fort Scott, KS 66701-8885
Phone
(620) 223-0200
NPI assigned
Dec 7, 2005
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1454603052 KS
Nurse Practitioner 363L00000X 54279 KS
Certified Registered Nurse Anesthetist 367500000X 54279 KS Primary

Addresses

Primary practice location

916 Highway 69
Fort Scott, KS 66701-8885

Mailing address

PO Box 25097
Overland Park, KS 66225-5097
Phone (913) 268-4133

Other identifiers 13

IdentifierTypeStateIssuer
10001519005OtherCOMMUNITY HEALTH PLAN
66048A008OtherMOTRICARE WPS
R76304OtherPREFERRED HEALTH SYSTEMS
22140086OtherBLUE CROSS BLUE SHIELD KC
100247920GMedicaidKS
914807532MedicaidMO
P00407087OtherKSRAILROAD MEDICARE
144901OtherBLUE CROSS BLUE SHIELD KS
145351OtherBLUE CROSS BLUE SHIELD KS
100247920JMedicaidKS
22140116OtherBLUE CROSS BLUE SHIELD KC
P00042563OtherKSRAILROAD MEDICARE
P00042565OtherMORAILROAD MEDICARE

Other names 1

  • Ms. Jan C Rousseau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050613000198 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719970680 Reassigns benefits to 5 organizations
I20061017000561 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719970680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians
Eye Care LLCGroup PAC ID 4385544600, 49 clinicians
Guardian Anesthesia ServicesGroup PAC ID 7315931540, 15 clinicians

Practice addresses (Care Compare)

11261 Nall Ave
Suite 200
Leawood, KS 66211-1696
Phone (913) 671-3290

11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230

3840 W 75TH St
Prairie Village, KS 66208-4126
Phone (913) 384-9600

4741 S Cochise Dr
Independence, MO 64055-6974
Phone (816) 478-1230

918 Hwy 69
Fort Scott, KS 66701-8885
Phone (620) 223-0200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1454603052KSMDRegistered Nurse
54279KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care, LLC CurrentSince Oct 9, 2025 Accepting new patients
Midwest Anesthesia Associates, PA Registered Nurse CurrentSince Mar 1, 2010 Accepting new patients
Eye Care, LLC CurrentSince Oct 9, 2025 Accepting new patients
Abb PA Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 1998 Accepting new patients
Novamed Eye Surgery Center of Overland Park, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Leavenworth Anesthesia PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

918 Highway 69
Fort Scott, KS 66701
Phone (620) 223-0200

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

10730 Nall Ave
Overland Park, KS 66211
Phone (913) 206-3832

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

9401 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 296-9391

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1285619767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25097",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255097",
            "telephone_number": "913-268-4133",
            "fax_number": "913-268-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 HIGHWAY 69",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018885",
            "telephone_number": "620-223-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLETT",
        "first_name": "JAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "RN ARNP CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1454603052",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "54279",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001519005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WPS",
            "identifier": "66048A008",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "R76304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KC",
            "identifier": "22140086",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247920G",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914807532",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00407087",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "144901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "145351",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247920J",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KC",
            "identifier": "22140116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00042563",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00042565",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "ROUSSEAU",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "RN ARNP CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.