Individual provider Active NPI

Alexis D King, CRNA

  • Certified Registered Nurse Anesthetist
  • Garden City, KS
National Provider Identifier
1356310825
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209007031 Issued in IL
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

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200258970BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080604000655 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254329287 Reassigns benefits to 5 organizations
I20260414002013 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254329287 Reassigns benefits to 1 organization

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
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians

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

LicenseStateTypeSpecialty
55377KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Memorial Hospital Association CurrentSince Mar 1, 2008 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Nov 1, 2025 Accepting new patients
Fairfield Memorial Hospital Association Current Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Apr 1, 2025 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jun 1, 2024 Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Mar 1, 2008 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Associated Anesthesiologists PC PastSince Feb 25, 2024 Accepting new patients
Anesthesia Associates of Topeka PA PastSince Aug 5, 1993 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: akingcrna410176@carlehiedirect.net
  • FHIR API: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.