Active NPI
Kimberly K Van Gundy, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Lees Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D085712
- Practice address
- 3151 NE Carnegie Dr
Lees Summit, MO 64064-3222 - Phone
- (816) 347-0026
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 320756 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | AP13618 | VI | |
| Certified Registered Nurse Anesthetist | 367500000X | 140860 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 43-557132-011 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | D085712 | IA | Primary |
Addresses
Primary practice location
3151 NE Carnegie Dr
Lees Summit, MO 64064-3222
Mailing address
3911 W 74TH Ter
Prairie Village, KS 66208-2952
Phone (913) 777-9994
Other practice location 1
11413 Ash St
Leawood, KS 66211-1837
Phone (913) 661-9977
Other practice location 2
901 Heartland Rd Ste 1820
Saint Joseph, MO 64506-6201
Phone (816) 364-2772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO, VI, AZ
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130215000461 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5799753042 | Reassigns benefits to 3 organizations |
| I20191206002549 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5799753042 | Reassigns benefits to 13 organizations |
| I20210125000429 | VI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5799753042 | Reassigns benefits to 1 organization |
| I20260504008254 | AZ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5799753042 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heartland Regional Medical Center
Practice addresses (Care Compare)
5325 Faraon St
Suite R
Saint Joseph, MO 64506-3488
Phone (816) 271-6870
Hospital & facility affiliations
- Mosaic Life Care at St Joseph
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320756 | AZ | MD | Certified Registered Nurse Anesthetist |
| D085712 | IA | MD | Certified Registered Nurse Anesthetist |
| 43-557132-011 | KS | MD | Certified Registered Nurse Anesthetist |
| 140860 | MO | MD | Certified Registered Nurse Anesthetist |
| AP13618 | VI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Current | Accepting new patients | |
| Dynamos Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Lukes East Anesthesia Services,P.C. | Current | Accepting new patients | |
| Guardian Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwest Medical Center Association Inc | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Digestive Health Specialists, LLC | Current | Accepting new patients | |
| Outpatient Anesthesia Specialists LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Derrick D. Jones P C | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Missouri, LLC | Current | Accepting new patients | |
| Moehle Anesthesiology Services LLC | Current | Accepting new patients | |
| Midwest Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ascentist Physicians Group, LLC | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Harrison County Community Hospital District | Current | Accepting new patients | |
| Northwest Medical Center Association Inc | Current | Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Anesthesia & Pain Consultants of SW FL | Past | Accepting new patients | |
| Collier Anesthesia PA | Past | Accepting new patients | |
| Outpatient Anesthesia of Southwest Florida Inc | Past | Accepting new patients | |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients | |
| Jennifer Sassi PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Peace River Anesthesiology Associates PA | Past | Accepting new patients | |
| Atlantic Coast Anesthesia Associates | Past | Accepting new patients |
Locations (25 of 28)
2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
3550 S 4th St
Leavenworth, KS 66048
Phone (800) 903-2088
4801 College Blvd
Fl 2
Leawood, KS 66211
4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200
3840 W 75th St
Prairie Vlg, KS 66208
Phone (913) 384-9600
8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111
9301 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-9300
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451
705 N College St
Albany, MO 64402
Phone (660) 726-3941
2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
3800 S Whitney Ave
Ste 100
Independence, MO 64055
1318 E 104th St
Kansas City, MO 64131
Phone (816) 256-5200
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
1318 E 104th St
#C
Kansas City, MO 64131
Phone (816) 256-5200
1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100
701 E 101st Ter
Kansas City, MO 64131
Phone (816) 523-0100
120 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5800
100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213
5325 Faraon St
Ste R
Saint Joseph, MO 64506
Phone (816) 271-6870
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
Organizations & group practices 38
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
- Rombauer, MO
- NPI 1770185472
MO
-
- Medicare Defined Swing Bed Hospital Unit
- Albany, MO
- NPI 1124164322
MO
-
- Certified Registered Nurse Anesthetist
- Kansas City, MO
- NPI 1194828673
MO, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
MO
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1528037074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 W 74TH TER",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662082952",
"telephone_number": "913-777-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 NE CARNEGIE DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640643222",
"telephone_number": "816-347-0026"
}
],
"practiceLocations": [
{
"address_1": "11413 Ash St",
"address_purpose": "LOCATION",
"city": "Leawood",
"state": "KS",
"postal_code": "662111837",
"country_code": "US",
"telephone_number": "913-661-9977",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Heartland Rd Ste 1820",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645066201",
"country_code": "US",
"telephone_number": "816-364-2772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN GUNDY",
"first_name": "KIMBERLY",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "320756",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VI",
"license": "AP13618",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "140860",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557132-011",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D085712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.