Active NPI
Kayla Rae Ellis, CRNA, DNP
- Certified Registered Nurse Anesthetist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-557337-032
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66160-8500 - Phone
- (913) 588-5000
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 14-118472-032 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 43-557337-032 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Mailing address
3020 SW 9TH Ter
Lees Summit, MO 64081-3711
Phone (308) 379-1838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2620 W Faidley Ave
CHI Health St Francis
Grand Island, NE 68803-4205
Phone (308) 384-4600
7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 717-4866
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-118472-032 | KS | MD | Registered Nurse |
| 43-557337-032 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Platte Surgery Center Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800
7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356858419
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Platte, NE
- NPI 1780869222
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1639687114
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1982675955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1346622057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 SW 9TH TER",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813711",
"telephone_number": "308-379-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "KAYLA",
"middle_name": "RAE",
"credential": "CRNA, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-118472-032",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557337-032",
"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 Jan 23, 2018; 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.