Individual provider Active NPI

Scott Smith Burgi, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Cape Girardeau, MO
National Provider Identifier
1417910084
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2003028588 Issued in MO
Practice address
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone
(573) 331-3000
Fax
(913) 341-5797
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4017780 KY
Certified Registered Nurse Anesthetist 367500000X 2003028588 MO Primary

Addresses

Primary practice location

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049

Mailing address

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

Other practice location 1

3920 Dutchmans Ln
Louisville, KY 40207-4702
Phone (502) 852-8581

Other identifiers 6

IdentifierTypeStateIssuer
A164OtherMOCHAMPUS TRICARE
110375OtherMOHEALTH LINK
405586OtherMOBCBS
P00186349OtherMORAILROAD MEDICARE
918967902MedicaidMO
105537OtherMOHEALTH ALLAINCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040621000137 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547245052 Reassigns benefits to 1 organization
I20240624001624 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547245052 Reassigns benefits to 1 organization
I20241226001084 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547245052 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Epix Anesthesia of Tennessee PLLCGroup PAC ID 7113292178, 12 clinicians

Practice addresses (Care Compare)

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000

1818 Albion St
Nashville, TN 37208-2918
Phone (678) 580-1349

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1111

2835 Hwy 231 N
Shelbyville, TN 37160-7327
Phone (678) 580-1349

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4017780KYMDCertified Registered Nurse Anesthetist
2003028588MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince May 23, 2025 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Dec 1, 2003 Accepting new patients
Cape Laboratory & Pathology, LC Current Accepting new patients
Commonwealth Health Corporation, Inc CurrentSince May 1, 2025 Accepting new patients
Epix Anesthesia of Tennessee PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Dec 1, 2003 Accepting new patients
Saint Francis Medical Center Nurse Anesthetist, Certified Registered Current Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

484 Golden Autumn Way
Ste 100
Bowling Green, KY 42103
Phone (270) 793-1000

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

456 Burnley Rd
Scottsville, KY 42164
Phone (270) 622-2800

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

3241 Percy Dr
Cpe Girardeau, MO 63701
Phone (573) 334-1222

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Organizations & group practices 13

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 13

Hospital & facility affiliations 2

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1417910084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035049",
            "telephone_number": "573-331-3000",
            "fax_number": "913-341-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035049",
            "telephone_number": "573-331-3000",
            "fax_number": "913-341-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 Dutchmans Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074702",
            "country_code": "US",
            "telephone_number": "502-852-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGI",
        "first_name": "SCOTT",
        "middle_name": "SMITH",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4017780",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2003028588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "A164",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "110375",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "405586",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00186349",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918967902",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLAINCE",
            "identifier": "105537",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.