Active NPI
Marion E Lyman, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2024012394
- Practice address
- 5830 NW Barry Rd
Kansas City, MO 64154-2778 - Phone
- (816) 932-3679
- NPI assigned
- May 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2024012394 | MO | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 125551 | IL |
Addresses
Primary practice location
5830 NW Barry Rd
Kansas City, MO 64154-2778
Mailing address
901 E 104TH St Mailstop 400S
Kansas City, MO 64131-4436
Phone (816) 932-3679
Other practice location 1
600 S Paulina St
Chicago, IL 60612-3806
Phone (269) 449-0188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231205002979 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961851779 | |
| I20240626000346 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961851779 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rush Medical College of Rush University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000
Hospital & facility affiliations
- Saint Lukes North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125551 | IL | 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 |
| Rush University Medical Group | Past | Accepting new patients |
Locations
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- elyman658511@direct.saint-lukes.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
MO, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
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": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1568083442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314436",
"telephone_number": "816-932-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 NW BARRY RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641542778",
"telephone_number": "816-932-3679"
}
],
"practiceLocations": [
{
"address_1": "600 S Paulina St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123806",
"country_code": "US",
"telephone_number": "269-449-0188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYMAN",
"first_name": "MARION",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-01",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2024012394",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "125551",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.