Individual provider Active NPI

Roxane Henrici, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, KS
National Provider Identifier
1306191333
Registry record updated Nov 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557099 Issued in KS
Practice address
3901 Rainbow Blvd
Department of Anesthesiology Mail Stop 1034
Kansas City, KS 66160-7415
Phone
(913) 588-6670
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 557099 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Department of Anesthesiology Mail Stop 1034
Kansas City, KS 66160-7415

Mailing address

3901 Rainbow Blvd
Mail Stop 1034
Kansas City, KS 66160-7415
Phone (913) 588-6670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423001509 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244480663 Reassigns benefits to 1 organization

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
Oregon Eye Surgery Center IncGroup PAC ID 3577551613, 3 clinicians

Practice addresses (Care Compare)

1550 Oak St
Suite 8
Eugene, OR 97401-7704
Phone (541) 683-8771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
557099KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Eye Surgery Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Oregon Eye Surgery Center, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients

Locations

1550 Oak St
Ste 8
Eugene, OR 97401
Phone (541) 484-4988

1550 Oak St
Ste 2
Eugene, OR 97401
Phone (503) 484-4984

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1306191333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MAIL STOP 1034",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661607415",
            "telephone_number": "913-588-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY MAIL STOP 1034",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661607415",
            "telephone_number": "913-588-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICI",
        "first_name": "ROXANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.