Individual provider Active NPI

Bryan Andrew Woodworth, CRNA

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
National Provider Identifier
1578522082
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
149870 Issued in MO
Practice address
3601 W 133Rd St
Leawood, KS 66209-3345
Phone
(913) 787-3729
Fax
(913) 730-5463
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 149870 MO Primary

Addresses

Primary practice location

3601 W 133Rd St
Leawood, KS 66209-3345

Mailing address

3601 W 133Rd St
Leawood, KS 66209-3345
Phone (913) 787-3728

Other identifiers 2

IdentifierTypeStateIssuer
P00297139OtherMOMEDICARE PIN RR
915365423MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050302001051 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709839657 Reassigns benefits to 1 organization
I20110420000312 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709839657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Health and Wellness LLCGroup PAC ID 8820354475, 5 clinicians

Practice addresses (Care Compare)

3601 W 133Rd St
Leawood, KS 66209-3345
Phone (913) 787-3728

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health and Wellness, LLC CurrentSince Jun 9, 2022 Accepting new patients
Apollo Medical Group of Overland Park LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2021 Accepting new patients
Northstar Anesthesia of Missouri, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
Professional Anesthetic Care Inc Past Accepting new patients
Anesthesia Services of Blue Springs Past Accepting new patients
Anesthesia Associates of Kansas City PA Past Accepting new patients
Freeman Neosho Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. Past Accepting new patients

Locations

3601 W 133rd St
Leawood, KS 66209
Phone (913) 787-3728

6650 W 110th St
Ste 300
Overland Park, KS 66211
Phone (913) 469-6777

203 W Road Mize Rd
Ste 218
Blue Springs, MO 64014
Phone (816) 874-4181

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Interoperability endpoints

  • Direct secure messaging: bryan.woodworth@102608020045828.direct.elationemr.com

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1578522082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 133RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093345",
            "telephone_number": "913-787-3728",
            "fax_number": "913-730-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 133RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093345",
            "telephone_number": "913-787-3729",
            "fax_number": "913-730-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "BRYAN",
        "middle_name": "ANDREW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "149870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN RR",
            "identifier": "P00297139",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915365423",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.