Individual provider Active NPI

Nathan R McNiel, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1407107568
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
103772 Issued in KS
Practice address
550 N Hillside St
Wichita, KS 67214-4910
Phone
(316) 685-6091
NPI assigned
Sep 28, 2012
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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 103772 KS Primary

Addresses

Primary practice location

550 N Hillside St
Wichita, KS 67214-4910

Mailing address

PO Box 47890
Wichita, KS 67201-7890
Phone (316) 685-6091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000043 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890933154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Spine Anesthesia Corporation PAGroup PAC ID 1153586821, 56 clinicians

Practice addresses (Care Compare)

3333 N Webb Rd
Wichita, KS 67226-8123
Phone (316) 462-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103772KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Continent Anesthesiology Chartered CurrentSince Apr 21, 2013 Accepting new patients
Kansas Spine Anesthesia Corporation PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients

Locations

2818 N Greenwich Rd
Wichita, KS 67226
Phone (316) 685-2207

3121 N Webb Rd
Ste 100
Wichita, KS 67226

3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000

3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000

4013 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-8015

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1407107568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47890",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017890",
            "telephone_number": "316-685-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144910",
            "telephone_number": "316-685-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNIEL",
        "first_name": "NATHAN",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "103772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.