Active NPI
Andrew Lee Gooden, CRNA
- Certified Registered Nurse Anesthetist
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2019003627
- Practice address
- 100 Mercy Way
Joplin, MO 64804-4524 - Phone
- (417) 781-2727
- NPI assigned
- Feb 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2019003627 | MO | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | COA.14539NA | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | RN.391120-1 | OH |
Addresses
Primary practice location
100 Mercy Way
Joplin, MO 64804-4524
Mailing address
One Children'S Plaza
Dayton Children'S Hospital-Children'S Anesthesia Group,
Dayton, OH 45404-1815
Phone (937) 641-3350
Other practice location 1
One Children's Plaza
Dayton Children's Hospital-Children's Care Group, Inc.
Dayton, OH 45404-1815
Phone (937) 641-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729
Hospital & facility affiliations
- Mercy Hospital Joplin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14539NA | OH | MD | Certified Registered Nurse Anesthetist |
| RN.391120-1 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Missouri, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pediatric Anesthesia Associates of Dayton, Inc. | Past | Accepting new patients |
Locations
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
Organizations & group practices 2
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
- Irving, TX
- NPI 1396191789
MO, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1447217096
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1386984615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE CHILDREN'S PLAZA",
"address_2": "DAYTON CHILDREN'S HOSPITAL-CHILDREN'S ANESTHESIA GROUP,",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041815",
"telephone_number": "937-641-3350",
"fax_number": "937-641-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-781-2727"
}
],
"practiceLocations": [
{
"address_1": "One Children's Plaza",
"address_2": "Dayton Children's Hospital-Children's Care Group, Inc.",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041815",
"country_code": "US",
"telephone_number": "937-641-3350",
"fax_number": "937-641-6145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODEN",
"first_name": "ANDREW",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-23",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2019003627",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.14539NA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN.391120-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.