Individual provider Active NPI

Amy Michelle King, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1528226206
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55701 Issued in KS
Practice address
556 N Oakwood Dr
Wichita, KS 67208-4227
Phone
(310) 497-6537
NPI assigned
May 29, 2008
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 55701 KS Primary

Addresses

Primary practice location

556 N Oakwood Dr
Wichita, KS 67208-4227

Mailing address

7331 Plaza LN
Wichita, KS 67206-2125
Phone (310) 497-6537

Other identifiers 2

IdentifierTypeStateIssuer
P00765672OtherKSRR MEDICARE GROUP CQ2302
200592480AMedicaidKS

Other names 1

  • Amy Michelle Nuessen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000316 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456417088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Anesthesia of Wichita LLCGroup PAC ID 2567503808, 9 clinicians
Wichita Anesthesiology CharteredGroup PAC ID 4587577796, 68 clinicians

Practice addresses (Care Compare)

3601 N Webb Rd
Wichita, KS 67226-8129
Phone (316) 630-5000

8080 E Central Ave
Suite 250
Wichita, KS 67206-2367
Phone 3166867327202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.05 of 100Reported as group
Quality
47.12
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Anesthesia of Wichita, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
Heartland Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3601 N Webb Rd
Wichita, KS 67226
Phone (316) 360-5000

Organizations & group practices 4

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 2

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1528226206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 PLAZA LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062125",
            "telephone_number": "310-497-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N OAKWOOD DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084227",
            "telephone_number": "310-497-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CQ2302",
            "identifier": "P00765672",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200592480A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NUESSEN",
            "middle_name": "MICHELLE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.