Shelly L Acord, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Shawnee Mission, KS
NPI 1295791101 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1295791101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 55149 (KS)
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 632-2230
- Fax
- (913) 632-2297
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Anesthesia Associates, PA
Practice addresses (Care Compare)
9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 632-2230
Hospital & facility affiliations
- Adventhealth Shawnee Mission
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040317000892 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7517857162 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55149 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Associates, PA | Registered Nurse | Current |
Accepting new patients |
| Anesthesia Services Medical Group of Topeka, PA | Past | Accepting new patients | |
| Anesthesia Associates of Topeka PA | Past |
Accepting new patients |
Locations
9301 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-9300
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 76452 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 55149 | KS | Yes |
Addresses
Primary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
PO Box 411895
Kansas City, MO 64141-1895
Phone (913) 632-2230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910029792 | Medicaid | MO | |
| 200462720F | Medicaid | KS | |
| 200462720G | Medicaid | KS | |
| 1295791101 | Medicaid | MO | |
| P01812448 | Other | KS | RAILROAD |
| 38589031 | Other | KS | BCBS KC |
Other providers in Shawnee Mission, KS
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- Lindsey Bagby Abraham
- Accessibility Remodeling LLC
- Kristin M Adams
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All providers in Shawnee Mission, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.