Individual provider Active NPI

Kimberly K Van Gundy, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Lees Summit, MO
National Provider Identifier
1528037074
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D085712 Issued in IA
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

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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 394 clinicians

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 Hospital, Saint Joseph, MO, CCN 260006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
320756AZMDCertified Registered Nurse Anesthetist
D085712IAMDCertified Registered Nurse Anesthetist
43-557132-011KSMDCertified Registered Nurse Anesthetist
140860MOMDCertified Registered Nurse Anesthetist
AP13618VIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Aug 26, 2022 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Sep 15, 2025 Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2024 Accepting new patients
St Lukes East Anesthesia Services,P.C. CurrentSince Apr 1, 2020 Accepting new patients
Guardian Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Nov 26, 2013 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Apr 7, 2022 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Sep 15, 2025 Accepting new patients
Digestive Health Specialists, LLC CurrentSince Mar 2, 2020 Accepting new patients
Outpatient Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Derrick D. Jones P C CurrentSince Oct 21, 2020 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC CurrentSince Dec 11, 2024 Accepting new patients
Moehle Anesthesiology Services LLC Current Accepting new patients
Midwest Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2013 Accepting new patients
Ascentist Physicians Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Dec 3, 2019 Accepting new patients
Harrison County Community Hospital District Current Accepting new patients
Northwest Medical Center Association Inc CurrentSince Apr 7, 2022 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Sep 15, 2025 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jun 1, 2022 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jun 1, 2022 Accepting new patients
Anesthesia & Pain Consultants of SW FL PastSince Jan 1, 2019 Accepting new patients
Collier Anesthesia PA Past Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. PastSince May 1, 2015 Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 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

  • FHIR API: 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.

View all 38

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.