Individual provider Active NPI

Phillip Ramseay Knowles, CRNA

  • Certified Registered Nurse Anesthetist
  • Lee'S Summit, MO
National Provider Identifier
1366760894
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2007006949 Issued in MO
Practice address
250 NE Mulberry
Suite 202
Lee'S Summit, MO 64086-4533
Phone
(816) 389-4137
Fax
(816) 389-4140
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2007006949 MO Primary

Addresses

Primary practice location

250 NE Mulberry
Suite 202
Lee'S Summit, MO 64086-4533

Mailing address

250 NE Mulberry
Suite 202
Lee'S Summit, MO 64086-4533
Phone (816) 389-4137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917002782 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820120041 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
60.52 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
68.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2007006949MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 1, 2026 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince Jul 8, 2019 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 1, 2026 Accepting new patients
St. Vincent General Hospital District CurrentSince Aug 12, 2022 Accepting new patients
St. Vincent General Hospital District CurrentSince Aug 12, 2022 Accepting new patients
Centers for Gastroenterology CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. Past Accepting new patients
East Morgan County Hospital Past Accepting new patients

Locations

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2555 E 13th St
Ste 210
Loveland, CO 80537
Phone (970) 461-6262

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1366760894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NE MULBERRY",
            "address_2": "SUITE 202",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-389-4137",
            "fax_number": "816-389-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NE MULBERRY",
            "address_2": "SUITE 202",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-389-4137",
            "fax_number": "816-389-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "PHILLIP",
        "middle_name": "RAMSEAY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2007006949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee'S Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.