Individual provider Active NPI

Ruth Pottinger, CRNA

  • Certified Registered Nurse Anesthetist
  • Leavenworth, KS
National Provider Identifier
1457307654
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54594 Issued in KS
Practice address
16225 Gilman Rd.
Leavenworth, KS 66048
Phone
(913) 727-5600
Fax
(913) 727-5602
NPI assigned
May 26, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 54594 KS Primary
Certified Registered Nurse Anesthetist 367500000X 103014 MO

Addresses

Primary practice location

16225 Gilman Rd.
Leavenworth, KS 66048

Mailing address

10217 Stonehaus Dr
Lees Summit, MO 64086-9613
Phone (816) 554-3620

Other identifiers 1

IdentifierTypeStateIssuer
20836031OtherKSBCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071031000530 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355438896 Reassigns benefits to 1 organization
I20071105000259 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355438896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Anesthesia Specialist PAGroup PAC ID 5991691826, 18 clinicians

Practice addresses (Care Compare)

1100 W College St
Liberty, MO 64068-1119
Phone (816) 415-3003

5520 College Blvd
Suite 200
Overland Park, KS 66211-1658
Phone (913) 491-3040

7220 W 129TH St
Overland Park, KS 66213-2624
Phone (913) 897-0022

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54594KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novamed Eye Surgery Center of Overland Park, LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2023 Accepting new patients
Columbia Musculoskeletal Surgery CNTR LLC CurrentSince Mar 1, 2007 Accepting new patients
Global Anesthesia Specialist PA CurrentSince Mar 1, 2007 Accepting new patients
Novamed Eye Surgery Center of Overland Park, LLC Current Accepting new patients
Anesthesia Associates of Kansas City PA Past Accepting new patients
Westport Anesthesia Services of Kansas PA Past Accepting new patients
Westport Anesthesia Services of Missouri, PC Past Accepting new patients

Locations

12239 Collection Ctr Dr
Chicago, IL 60693

5520 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 491-3040

7220 W 129th St
Overland Park, KS 66213
Phone (913) 680-0812

100 N Clayview Dr
Liberty, MO 64068
Phone (816) 781-9222

1100 W College St
Liberty, MO 64068
Phone (816) 415-3003

Organizations & group practices 7

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457307654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 STONEHAUS DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640869613",
            "telephone_number": "816-554-3620",
            "fax_number": "816-524-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16225 GILMAN RD.",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "913-727-5600",
            "fax_number": "913-727-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTINGER",
        "first_name": "RUTH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54594",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "103014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "20836031",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.