Active NPI
Diana L Mohrbacher, CRNA
- Certified Registered Nurse Anesthetist
- Overland Park, KS
National Provider Identifier
1356333520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 54246
- Practice address
- 10601 Quivira Rd
Overland Park, KS 66215-2310 - Phone
- (913) 428-2900
- Fax
- (913) 428-2951
- NPI assigned
- Aug 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 54246 | KS | Primary |
Addresses
Primary practice location
10601 Quivira Rd
Overland Park, KS 66215-2310
Mailing address
8717 W 110TH St
Suite 600
Overland Park, KS 66210-2144
Phone (913) 428-2900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013A00062 | Other | KS | MEDICARE |
| 100301330C | Medicaid | KS | |
| 1356333520 | Medicaid | MO | |
| 013000061 | Other | MO | MEDICARE |
Other names 1
- Diana L. Daigle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10601 Quivira Rd
Suite 100
Overland Park, KS 66215-2320
Phone (913) 894-7260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54246 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Continent Anesthesiology Chartered | Past | Accepting new patients | |
| Wichita Anesthesiology Chartered | Past | Accepting new patients |
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
- Overland Park, KS
- NPI 1174504732
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1699750273
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1407848450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1356333520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 W 110TH ST",
"address_2": "SUITE 600",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102144",
"telephone_number": "913-428-2900",
"fax_number": "913-428-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 QUIVIRA RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152310",
"telephone_number": "913-428-2900",
"fax_number": "913-428-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHRBACHER",
"first_name": "DIANA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "54246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "013A00062",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100301330C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356333520",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "013000061",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "DAIGLE",
"middle_name": "L.",
"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 9, 2016; 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.