NPIMap

Organization Active NPI

Mid-Missouri Anesthesia Consultants PC

  • Anesthesiology Physician
  • Jefferson City, MO
National Provider Identifier
1326091059
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MID-MISSOURI ANESTHESIA CONSULTANTS PC
Practice address
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone
(573) 636-3483
Fax
(573) 636-3386
NPI assigned
May 17, 2006
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Jodie Earney
Title
Administrator
Phone
(573) 636-3483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MO Primary

Addresses

Primary practice location

2505 Mission Dr
Jefferson City, MO 65109-9508

Mailing address

3218 Emerald LN Ste C
Jefferson City, MO 65109-6948
Phone (573) 636-3483

Other identifiers 2

IdentifierTypeStateIssuer
505224105MedicaidMO
500734413MedicaidMO

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040813000792 MO Part B Supplier - Clinic/Group Practice 8224025747 Receives reassigned benefits from 5 practitioners
Practice locations: Jefferson City, MO
O20040827000461 MO Part B Supplier - Clinic/Group Practice 8224025747 Receives reassigned benefits from 9 practitioners
Practice locations: Jefferson City, MO

National Provider Directory

National Provider Directory

Locations

100 Saint Marys Medical Plz
Ste 302
Jefferson City, MO 65101
Phone (573) 636-7716

2505 Mo Blvd
Jefferson City, MO 65109

3218 Emerald Ln
Ste C
Jefferson City, MO 65109
Phone (816) 853-5736

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

1445 Christy Dr
Jefferson Cty, MO 65101
Phone (573) 636-3483

Practitioners & affiliated clinicians

Practitioners 61

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.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1326091059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 EMERALD LN STE C",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096948",
            "telephone_number": "573-636-3483",
            "fax_number": "573-636-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MISSION DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651099508",
            "telephone_number": "573-636-3483",
            "fax_number": "573-636-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MISSOURI ANESTHESIA CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "EARNEY",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-636-3483"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505224105",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500734413",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.