Individual provider Active NPI

Julie E Clark, CRNA

  • Certified Registered Nurse Anesthetist
  • North Kansas City, MO
National Provider Identifier
1386669612
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4355354121 Issued in KS
Practice address
2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone
(816) 691-1765
Fax
(816) 471-1247
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 110806 MO
Certified Registered Nurse Anesthetist 367500000X 4355354121 KS Primary
Certified Registered Nurse Anesthetist 367500000X 110806 MO

Addresses

Primary practice location

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220

Mailing address

1900 Swift Ave
Suite 203
North Kansas City, MO 64116-3445
Phone (816) 221-5050

Other practice location 1

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, IN, IA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040825001220 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628042421 Reassigns benefits to 1 organization
I20100512000171 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628042421 Reassigns benefits to 4 organizations
I20200429000800 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628042421 Reassigns benefits to 1 organization
I20210921001704 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628042421 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Anesthesiology of Texas PLLCGroup PAC ID 1254751407, 134 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110806MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Current Accepting new patients
Northstar Anesthesia of Kansas, LLC Nurse Anesthetist, Certified Registered CurrentSince May 17, 2014 Accepting new patients
Rem Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2024 Accepting new patients
Meritas Health Corporation CurrentSince May 12, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Jan 1, 2022 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Meritas Health Corporation CurrentSince May 12, 2025 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Mercy Medical Center New Hampton Current Accepting new patients
Advivum Anesthesiology PC Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Westport Anesthesia Services of Missouri, PC Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

308 N Maple Ave
New Hampton, IA 50659
Phone (641) 394-2151

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

7111 W 151st St
Overland Park, KS 66223
Phone (785) 403-0405

2037 SE 29th St
Topeka, KS 66605
Phone (785) 267-9500

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

9 Northeastern Blvd
Ste 400
Salem, NH 03079

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1386669612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SWIFT AVE",
            "address_2": "SUITE 203",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163445",
            "telephone_number": "816-221-5050",
            "fax_number": "816-471-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CLAY EDWARDS DR",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163220",
            "telephone_number": "816-691-1765",
            "fax_number": "816-471-1247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Clay Edwards Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163254",
            "country_code": "US",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JULIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "110806",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "4355354121",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "110806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.