Victor J Quintero, RN ARNP CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

55144 Issued in KS

Practice address

4510 Frederick Ave
Saint Joseph, MO 64506-3238

Phone

(816) 364-9992

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care LLCGroup PAC ID 4385544600, shared by 2 NPIs, 49 clinicians

Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Locations (25 of 33)

Interoperability endpoints

• Direct secure messaging: victor.quinterocrna.p1@direct.dvc.nextgenshare.com

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.

• Excel Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
  • NPI 1366559130

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Digestive Health Specialists, LLC

  • Gastroenterology Physician
  • Independence, MO
  • NPI 1801286844
  Medicare reassignment NPD
• Eye Care, LLC

  • Ophthalmology Physician
  • Harrisonville, MO
  • NPI 1609066034
  Medicare reassignment NPD
• Professional Anesthetic Care Inc

  • Anesthesiology Physician
  • Liberty, MO
  • NPI 1922053461
  Medicare reassignment NPD
• Eye Care, LLC

  • Optometrist
  • Leawood, KS
  • NPI 1881884211
  Medicare reassignment NPD
• Midwest Anesthesia Associates, PA

  • Anesthesiology Physician
  • Shawnee Mission, KS
  • NPI 1336192392

  Registered Nurse

  Medicare reassignment NPD
• Topeka Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Topeka, KS
  • NPI 1134183056
  Medicare reassignment NPD
• Eye Care LLC

  • Ophthalmology Physician
  • Independence, MO
  • NPI 1750374567
  NPD
• Eye Care, LLC

  • Optometrist
  • Raymore, MO
  • NPI 1023597127
  NPD
• Northland Anesthesiology Inc

  • Anesthesiology Physician
  • North Kansas City, MO
  • NPI 1346341310
  NPD (past)
• Dynamos Anesthesia Services LLC

  • Anesthesiology Physician
  • Leavenworth, KS
  • NPI 1639719180

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Leavenworth Anesthesia PA

  • Certified Registered Nurse Anesthetist
  • Leavenworth, KS
  • NPI 1679555262

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1386627388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 N 139TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094234",
            "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": "4510 FREDERICK AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063238",
            "telephone_number": "816-364-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "VICTOR",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RN ARNP CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1492371111",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "111099",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "55144",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55144",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "111099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "5717188",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20003630B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00396938",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "15577",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KC",
            "identifier": "21047031",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "145355",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917831216",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00365475",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Progressive Community Services
• Steven L Puderbaugh, DO
• Quality Hearing and Audiology Center LLC
• Quest Diagnostics Clinical Laboratories Inc
• Joanne Mayor Quilon, M.D.
• Radiation Oncologists of Northwest Missouri LLC
• Radiology Specialists of St Joseph PC
• Maureen Raffensperger
• Asma Zia Ur Rahman
• Julie Raines

• Certified Registered Nurse Anesthetist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.