Active NPI
Samuel Fankhauser, DNAP, CRNA
- Certified Registered Nurse Anesthetist
- Lawrence, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-558186-111
- Practice address
- 325 Maine St
Lawrence, KS 66044-1360 - Phone
- (785) 842-7026
- NPI assigned
- Jun 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 43-558186-111 | KS | Primary |
Addresses
Primary practice location
325 Maine St
Lawrence, KS 66044-1360
Mailing address
5651 SW 34TH PL
Topeka, KS 66614-4581
Phone (785) 633-4435
Other practice location 1
4000 Cambridge St
Kansas City, KS 66160-1360
Phone (913) 588-1227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240709003690 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1850836305 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas University Physicians IncLawrence Anaesthesia PA
Practice addresses (Care Compare)
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
613 N 2ND St
Lawrence, KS 66044-1407
Phone (785) 842-7026
Hospital & facility affiliations
- University of Kansas Hospital
- LMH
- University of Kansas Health System Olathe Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43-558186-111 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Anaesthesia PA | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
613 N 2nd St
Lawrence, KS 66044
Phone (785) 842-7026
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
Interoperability endpoints
- sfankhauser552447@direct.kuha.org
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Diagnostic Radiology Physician
- Kansas City, KS
- NPI 1689710519
-
- Neurological Surgery Physician
- Kansas City, KS
- NPI 1922144856
-
- Anesthesiology Physician
- Kansas City, KS
- NPI 1750459657
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
Hospital
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1568205136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5651 SW 34TH PL",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666144581",
"telephone_number": "785-633-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MAINE ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441360",
"telephone_number": "785-842-7026"
}
],
"practiceLocations": [
{
"address_1": "4000 Cambridge St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661601360",
"country_code": "US",
"telephone_number": "913-588-1227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANKHAUSER",
"first_name": "SAMUEL",
"credential": "DNAP, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-13",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-558186-111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.