Active NPI
Carly Jo McCleland, CRNA
- Certified Registered Nurse Anesthetist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-558212
- Practice address
- 10500 Quivira Rd
Overland Park, KS 66215-2306 - Phone
- (913) 541-5000
- NPI assigned
- Jul 31, 2023
- Last updated
- Jul 30, 2024
- Sex
- Female
- 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 | 43-558212 | KS | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 2016013693 | MO | |
| Pediatric Registered Nurse | 163WP0200X | 041513364 | IL |
Addresses
Primary practice location
10500 Quivira Rd
Overland Park, KS 66215-2306
Mailing address
8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone (913) 428-2900
Other practice location 1
542 George St
Wood River, IL 62095-1712
Phone (618) 973-5330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5528
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016013693 | MO | MD | Critical Care Medicine Registered Nurse |
| 041513364 | IL | MD | Pediatric Registered Nurse |
| 43-558212 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients |
Locations
10601 Quivira Rd
Ste 100
Overland Park, KS 66215
Phone (913) 541-8897
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Overland Park Regional Medical Center
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1467133546",
"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": "10500 QUIVIRA RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152306",
"telephone_number": "913-541-5000"
}
],
"practiceLocations": [
{
"address_1": "542 George St",
"address_purpose": "LOCATION",
"city": "Wood River",
"state": "IL",
"postal_code": "620951712",
"country_code": "US",
"telephone_number": "618-973-5330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLELAND",
"first_name": "CARLY",
"middle_name": "JO",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-558212",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MO",
"license": "2016013693",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "IL",
"license": "041513364",
"primary": false
}
],
"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 Jul 30, 2024; 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.