Individual provider Active NPI

Amanda June Gripka, CRNA

  • Certified Registered Nurse Anesthetist
  • Palm Beach Gardens, FL
National Provider Identifier
1598100174
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2007021957 Issued in KS
Practice address
7111 Fairway Dr
Suite 405
Palm Beach Gardens, FL 33418-4204
Phone
(561) 623-2054
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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 2007021957 KS Primary

Addresses

Primary practice location

7111 Fairway Dr
Suite 405
Palm Beach Gardens, FL 33418-4204

Mailing address

613 N 2ND St
Lawrence, KS 66044-1407
Phone (785) 842-7026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130912000409 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820232804 Reassigns benefits to 2 organizations
I20131217002035 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820232804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007021957KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Jun 13, 2025 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Lawrence Anaesthesia PA CurrentSince Apr 1, 2018 Accepting new patients
Truman Medical Center Incorporated CurrentSince Jun 13, 2025 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Jul 26, 2017 Accepting new patients
Topeka Anesthesia & Pain Treatment, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

613 N 2nd St
Lawrence, KS 66044
Phone (785) 842-7026

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2301 Holmes St
Kansas City, MO 64108

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

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.

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1598100174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N 2ND ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441407",
            "telephone_number": "785-842-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DR",
            "address_2": "SUITE 405",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184204",
            "telephone_number": "561-623-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIPKA",
        "first_name": "AMANDA",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "2007021957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.