NPIMap

Organization Active NPI

Excel Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
National Provider Identifier
1366559130
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
EXCEL ANESTHESIA, LLC
Practice address
11261 Nall Ave Ste 200
Leawood, KS 66211-1696
Phone
(913) 671-3290
NPI assigned
Aug 25, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Lexy Dimaggio, CRNA
Title
Credentialing Coordinator
Phone
(913) 721-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

11261 Nall Ave Ste 200
Leawood, KS 66211-1696

Mailing address

13851 W 63Rd St Ste 433
Shawnee, KS 66216-3800
Phone (913) 721-3641

Other identifiers 6

IdentifierTypeStateIssuer
10811031OtherMOBLUE CROSS BLUE SHIELD KANSAS CITY
502853203MedicaidMO
200418810AMedicaidKS
DF4368OtherMORR MEDICARE
DF1966OtherKSRR MEDICARE
180055OtherKSBLUE CROSS BLUE SHIELD KANSAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061016000529 KS Part B Supplier - Clinic/Group Practice 1850397787 Receives reassigned benefits from 40 practitioners
Practice locations: Leawood, KS; Overland Park, KS; Shawnee Mission, KS; Topeka, KS
O20061017000539 MO Part B Supplier - Clinic/Group Practice 1850397787 Receives reassigned benefits from 21 practitioners
Practice locations: Saint Joseph, MO; Sedalia, MO; Warrensburg, MO

National Provider Directory

National Provider Directory

Locations

3705 N 139th St
Kansas City, KS 66109

7230 W 151st St
Overland Park, KS 66223

920 SW Washburn Ave
Topeka, KS 66606
Phone (785) 232-4545

5202 Faraon St
#C
Saint Joseph, MO 64506
Phone (816) 233-2020

901 Heartland Rd
Ste 1820
Saint Joseph, MO 64506
Phone (816) 232-8877

706 N Burkarth Rd
Bldg A
Warrensburg, MO 64093
Phone (660) 747-8868

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1366559130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 W 63RD ST STE 433",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662163800",
            "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": "11261 NALL AVE STE 200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111696",
            "telephone_number": "913-671-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "DIMAGGIO",
        "authorized_official_first_name": "LEXY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "913-721-3641",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS CITY",
            "identifier": "10811031",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502853203",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418810A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF4368",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF1966",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS",
            "identifier": "180055",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.