Active NPI
Nicholas R Vaughan, CRNA
- Certified Registered Nurse Anesthetist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-557385
- Practice address
- 5721 W 119TH St
Overland Park, KS 66209-3722 - Phone
- (913) 428-2900
- Fax
- (913) 428-2951
- NPI assigned
- Nov 9, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 114015 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 2022046624 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 43-557385 | KS | Primary |
Addresses
Primary practice location
5721 W 119TH St
Overland Park, KS 66209-3722
Mailing address
8717 W 110TH St
Suite 600
Overland Park, KS 66210-2144
Phone (913) 428-2900
Other practice location 1
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
1500 SW 10H Ave
Topeka, KS 66604-1301
19600 E 39TH St
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 698-7000
3901 Rainbow Blvd
Kansas City, KS 66160-7415
Phone (913) 588-3315
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000
823 SW Mulvane St
Suite 210
Topeka, KS 66606-1679
Phone (785) 235-3451
Hospital & facility affiliations
- Overland Park Reg Med Ctr
- Adventhealth South Overland Park, Inc
- Saint Luke'S East Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114015 | KS | MD | Registered Nurse |
| 43-557385 | KS | MD | Certified Registered Nurse Anesthetist |
| 2022046624 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Saint Lukes Physician Group Inc | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Midwest Anesthesia Associates, PA | Registered Nurse | Current | Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Kansas Anesthesiology Professionals PA | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Kansas Surgery Center, LLC | Current | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
10995 Quivira Rd
Overland Park, KS 66210
Phone (913) 685-2211
10995 Quivira Rd
Ste 200
Overland Park, KS 66210
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
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
9301 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-9300
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
19550 E 39th St S
Ste 100
Independence, MO 64057
Phone (816) 478-2600
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
MO
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Topeka, KS
- NPI 1518933837
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1588142723
-
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1366117988
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Registered Nurse
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1801875091
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Anesthesiology Physician
- Kansas City, KS
- NPI 1750459657
-
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1427664283
-
- Anesthesiology Physician
- North Kansas City, MO
- NPI 1184267262
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1316536253
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1053353490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1487027728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 W 110TH ST",
"address_2": "SUITE 600",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102144",
"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": "5721 W 119TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093722",
"telephone_number": "913-428-2900",
"fax_number": "913-428-2951"
}
],
"practiceLocations": [
{
"address_1": "2700 Clay Edwards Dr Ste 240",
"address_purpose": "LOCATION",
"city": "North Kansas City",
"state": "MO",
"postal_code": "641163254",
"country_code": "US",
"telephone_number": "816-691-2021",
"fax_number": "816-346-7690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAUGHAN",
"first_name": "NICHOLAS",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-09",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "114015",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2022046624",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557385",
"primary": true
}
],
"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 Sep 18, 2023; 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.