NPIMap

Organization Active NPI

Ad Astra Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Derby, KS
National Provider Identifier
1316918816
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
AD ASTRA ANESTHESIA, LLC
Practice address
1257 N Buckner St
Derby, KS 67037-2721
Phone
(316) 788-5939
Fax
(316) 788-5945
NPI assigned
Feb 1, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECIAL ANESTHESIA SERVICES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Keelyn Freeman
Title
RN/Om
Phone
(316) 788-5939

Specialties & licenses 1

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

Addresses

Primary practice location

1257 N Buckner St
Derby, KS 67037-2721

Mailing address

1257 N Buckner St
Derby, KS 67037-2721
Phone (316) 788-5939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000467 KS Part B Supplier - Clinic/Group Practice 7810898608 Receives reassigned benefits from 7 practitioners
Practice locations: Derby, KS

National Provider Directory

National Provider Directory
Part of
Special Anesthesia SVCS PA

Locations

727 N Baltimore Ave
Derby, KS 67037
Phone (316) 788-5939

729 N Baltimore Ave
Derby, KS 67037
Phone (316) 788-5939

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1316918816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372721",
            "telephone_number": "316-788-5939",
            "fax_number": "316-788-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372721",
            "telephone_number": "316-788-5939",
            "fax_number": "316-788-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD ASTRA ANESTHESIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIAL ANESTHESIA SERVICES PA",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KEELYN",
        "authorized_official_title_or_position": "RN/OM",
        "authorized_official_telephone_number": "316-788-5939"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.