Individual provider Active NPI

Elizabeth Ann Niederwerder, CRNA

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
National Provider Identifier
1396215414
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2019002283 Issued in MO
Practice address
8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone
(913) 428-2900
Fax
(913) 428-2951
NPI assigned
Dec 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 145099 KS
Registered Nurse 163W00000X 2018023566 MO
Certified Registered Nurse Anesthetist 367500000X 2019002283 MO Primary

Addresses

Primary practice location

8717 W 110TH St Ste 600
Overland Park, KS 66210-2126

Mailing address

8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone (913) 428-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190321000850 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325388796 Reassigns benefits to 3 organizations
I20190502002220 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325388796 Reassigns benefits to 6 organizations
I20250106001630 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325388796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Anesthesia Associates of Topeka PAGroup PAC ID 5698675437, 54 clinicians
Capital Anesthesia Solutions of Missouri LLCGroup PAC ID 1456764885, 75 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

1500 SW 10H Ave
Topeka, KS 66604-1301

2316 E Meyer Blvd
HCA Research Medical Center
Kansas City, MO 64132-1136
Phone (816) 276-4000

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

823 SW Mulvane St
Suite 210
Topeka, KS 66606-1679
Phone (785) 235-3451

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
78.15 of 100Reported as group
Quality
74.3
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019002283MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince Feb 11, 2026 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Feb 25, 2019 Accepting new patients
Rem Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Saint Lukes Physician Group Inc CurrentSince Dec 5, 2022 Accepting new patients
Saint Luke's Physician Group Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 5, 2022 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2023 Accepting new patients
Labette County Medical Center CurrentSince Feb 11, 2026 Accepting new patients
Deaconess Hospital Inc CurrentSince Jan 21, 2025 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC CurrentSince Dec 11, 2024 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2025 Accepting new patients
Safe Sleep Anesthesia Partners Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

11225 Nall Ave
Ste 100
Leawood, KS 66211
Phone (913) 345-8020

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

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

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

15933 W 65th St
Shawnee, KS 66217
Phone (913) 239-0703

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

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

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: eniederwerder128901@stormontvaildirect.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 3

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": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1396215414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST STE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102126",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST STE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102126",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERWERDER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-01",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "145099",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2018023566",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2019002283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.