Special Anesthesia Services PA
Organization Active NPI Certified Registered Nurse Anesthetist · Derby, KS
NPI 1528035714 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1528035714
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- SPECIAL ANESTHESIA SERVICES PA
- Practice address
- 1257 N Buckner St
Derby, KS 67037-2721 - Phone
- (316) 281-3700
- Fax
- (316) 282-4322
- NPI assigned
- Mar 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Ronald James Keller, CRNA
- Title
- President
- Phone
- (316) 788-5939
Subparts reporting this organization as parent 1
Practitioners 10
-
Abbey Diane Travis, CRNA
-
Ryan Ray Morgan, CRNA
-
Jeremy M Salsbury, CRNA
-
Katie Layne Carmer, CRNA
-
Jenni Kay Ehling, CRNA
-
Amanda Renee McDonald, CRNA
-
Lisa R Walker, CRNA
-
Ronald James Keller, CRNA
-
Diana L Quillin, DDS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060828000464 | KS | Part B Supplier - Clinic/Group Practice | 4082618467 |
Receives reassigned benefits from 7 practitioners Practice locations: Derby, KS |
National Provider Directory
Locations
727 N Baltimore Ave
Derby, KS 67037
Phone (316) 788-5939
727 N Baltimore Ave
Ste 100
Derby, KS 67037
Phone (316) 788-5939
3933 N Maize Rd
Ste 200
Maize, KS 67101
Phone (316) 202-0140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
1257 N Buckner St
Derby, KS 67037-2721
Mailing address
1257 N Buckner St
Derby, KS 67037-2721
Phone (316) 281-3700
Other providers in Derby, KS
- Alyssa Ann Smith
- Dan F Smith
- Justin Smith
- Rebecca Jane Smith
- Sound on Audiology LLC
- Frederick Wayne Stark
- Amanda Steely
- Hannah Steinert
- Steven a Kuhl OD, LLC
- Gloria D. Stone
All providers in Derby, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.