Individual provider Active NPI

Elizabeth Patrice Debauge-Katzer, CRNA

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
National Provider Identifier
1336345867
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55597 Issued in KS
Practice address
7617 W 64TH St
Overland Park, KS 66202-3812
Phone
(816) 210-7512
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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 55597 KS Primary

Addresses

Primary practice location

7617 W 64TH St
Overland Park, KS 66202-3812

Mailing address

7617 W 64TH St
Overland Park, KS 66202-3812
Phone (816) 210-7512

Other names 1

  • Elizabeth Patrice Debauge Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070709000500 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264532050 Reassigns benefits to 1 organization
I20160219000154 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264532050 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55597KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA CurrentSince Jul 2, 2007 Accepting new patients
Outpatient Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2016 Accepting new patients

Locations

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1336345867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 W 64TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662023812",
            "telephone_number": "816-210-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 W 64TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662023812",
            "telephone_number": "816-210-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAUGE-KATZER",
        "first_name": "ELIZABETH",
        "middle_name": "PATRICE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DEBAUGE",
            "middle_name": "PATRICE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.