Active NPI
Alexis D King, CRNA
- Certified Registered Nurse Anesthetist
- Garden City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209007031
- Practice address
- 585 S Deer Trak
Garden City, KS 67846-8995 - Phone
- (620) 290-2466
- Fax
- (620) 272-2489
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 55377 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 55377 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 209007031 | IL | Primary |
Addresses
Primary practice location
585 S Deer Trak
Garden City, KS 67846-8995
Mailing address
585 S Deer Trak
Garden City, KS 67846-8995
Phone (620) 290-2466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200258970B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
303 NW 11TH St
Fairfield, IL 62837-1203
Phone (618) 847-8346
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121
800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340
900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55377 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc. | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists PC | Past | Accepting new patients | |
| Anesthesia Associates of Topeka PA | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611
213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617
800 E Locust St
Olney, IL 62450
Phone (618) 395-2131
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- akingcrna410176@carlehiedirect.net
- https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
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.
-
- Family Medicine Physician
- Fairfield, IL
- NPI 1649442419
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
- Rural Health Clinic/Center
- Fairfield, IL
- NPI 1295908853
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- Rural Health Clinic/Center
- West Salem, IL
- NPI 1922475037
-
- Anesthesiology Physician
- Topeka, KS
- NPI 1518933837
-
- Anesthesiology Physician
- Lincoln, NE
- NPI 1972674604
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1356310825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 S DEER TRAK",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678468995",
"telephone_number": "620-290-2466",
"fax_number": "620-272-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 S DEER TRAK",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678468995",
"telephone_number": "620-290-2466",
"fax_number": "620-272-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ALEXIS",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "55377",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "55377",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209007031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200258970B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.