Individual provider Active NPI

Mary E Winter, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Joseph, MO
National Provider Identifier
1346212586
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
105850 Issued in MO
Practice address
4510 Frederick Ave
Saint Joseph, MO 64506-3238
Phone
(816) 364-9992
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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 105850 MO Primary

Addresses

Primary practice location

4510 Frederick Ave
Saint Joseph, MO 64506-3238

Mailing address

3705 N 139TH St
Kansas City, KS 66109-4234
Phone (913) 721-3641

Other identifiers 9

IdentifierTypeStateIssuer
100249390FMedicaidKS
145390OtherKSBLUE CROSS BLUE SHIELD KANSAS
5759611OtherFIRST HEALTH
P00365463OtherMORAILROAD MEDICARE
22069048OtherMOBLUE CROSS BLUE SHIELD KANSAS CITY
P00410954OtherKSRAILROAD MEDICARE
66048A016OtherTRICARE WPS
912669439MedicaidMO
10001883400OtherMOCOMMUNITY HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Anesthesiology Inc Past Accepting new patients
Johnson County Anesthesiologists, Chartered Nurse Anesthetist, Certified Registered PastSince Sep 15, 2019 Accepting new patients
Consultants in Gastroenterology, PC PastSince Jul 11, 2011 Accepting new patients
Central Kansas Anesthesia PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Excel Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Independence Anesthesia Inc Past Accepting new patients
Westglen Endoscopy Center LLC Past Accepting new patients
Freeman Neosho Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Heartland Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Topeka PA PastSince Aug 5, 1993 Accepting new patients
Novamed Eye Surgery Center of Overland Park, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 11

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1346212586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 N 139TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094234",
            "telephone_number": "913-721-3641",
            "fax_number": "913-721-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 FREDERICK AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063238",
            "telephone_number": "816-364-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "105850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249390F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS",
            "identifier": "145390",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5759611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00365463",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS CITY",
            "identifier": "22069048",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00410954",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WPS",
            "identifier": "66048A016",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912669439",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001883400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.