Individual provider Active NPI

Anne Marie Ondak, CRNA

  • Certified Registered Nurse Anesthetist
  • Lee's Summit, MO
National Provider Identifier
1285996009
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2012018405 Issued in MO
Practice address
103 NE Shoreview CT
Lees Summit, MO 64064-1512
Phone
(816) 509-6280
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 122020 MO
Certified Registered Nurse Anesthetist 367500000X 2012018405 MO Primary

Addresses

Primary practice location

103 NE Shoreview CT
Lees Summit, MO 64064-1512

Mailing address

103 NE Shoreview CT
Lees Summit, MO 64064-1512
Phone (816) 509-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000753 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335398684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guardian Anesthesia Specialists LLCGroup PAC ID 5092932673, 26 clinicians

Practice addresses (Care Compare)

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 420-3939

PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122020MOMDRegistered Nurse
2012018405MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA CurrentSince Jul 9, 2012 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Aug 5, 2018 Accepting new patients
Guardian Anesthesia Specialists, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 11, 2022 Accepting new patients

Locations

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

5151 NW 88th St
Kansas City, MO 64154
Phone (816) 420-3939

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2111 N Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 364-6416

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 3

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 1

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1285996009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NE SHOREVIEW CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641512",
            "telephone_number": "816-509-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NE SHOREVIEW CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641512",
            "telephone_number": "816-509-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDAK",
        "first_name": "ANNE MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "122020",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2012018405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.