Individual provider Active NPI

Spencer Wood Davidson

  • Certified Registered Nurse Anesthetist
  • Kansas City, KS
National Provider Identifier
1467185561
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-5579-79-121 Issued in KS
Practice address
Ku Health System 4000 Cambridge Street
Kansas City, KS 66160-0001
Phone
(913) 588-1227
NPI assigned
Jul 6, 2022
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 2023040434 MO
Certified Registered Nurse Anesthetist 367500000X 43-5579-79-121 KS Primary

Addresses

Primary practice location

Ku Health System 4000 Cambridge Street
Kansas City, KS 66160-0001

Mailing address

5314 W 71St Ter
Prairie Village, KS 66208-2335
Phone (417) 529-0069

Other practice location 1

8800 Ballentine St
Overland Park, KS 66214-1900
Phone (913) 363-2663

Other practice location 2

1318 E 104th St
Kansas City, MO 64131-4504
Phone (816) 256-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, HI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220817000746 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335522879 Reassigns benefits to 4 organizations
I20231010001328 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335522879 Reassigns benefits to 3 organizations
I20250110001149 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335522879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Anesthesia Solutions of Missouri LLCGroup PAC ID 1456764885, 75 clinicians
Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

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

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4901 College Blvd
Leawood, KS 66211-1602
Phone (913) 721-3387

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince May 17, 2023 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 25, 2022 Accepting new patients
Pacific Anesthesia, Inc CurrentSince Jan 6, 2025 Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Ascentist Physicians Group, LLC CurrentSince Sep 19, 2022 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 25, 2022 Accepting new patients
Capital Anesthesia Solutions of Missouri LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2025 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

321 N Kuakini St
Ste 306
Honolulu, HI 96817
Phone (808) 545-1557

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

3550 S 4th St
Leavenworth, KS 66048
Phone (800) 903-2088

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

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

6815 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 348-6725

6815 Frontage Rd
Ste B
Overland Park, KS 66204
Phone (816) 875-2604

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

1318 E 104th St
Kansas City, MO 64131
Phone (816) 256-5200

1318 E 104th St
#C
Kansas City, MO 64131
Phone (816) 256-5200

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

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

901 Heartland Rd
Ste 1820
Saint Joseph, MO 64506
Phone (816) 232-8877

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1467185561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 W 71ST TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082335",
            "telephone_number": "417-529-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KU HEALTH SYSTEM 4000 CAMBRIDGE STREET",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Ballentine St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662141900",
            "country_code": "US",
            "telephone_number": "913-363-2663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1318 E 104th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641314504",
            "country_code": "US",
            "telephone_number": "816-256-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SPENCER",
        "middle_name": "WOOD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2023040434",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-5579-79-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.