NPIMap

Individual provider Active NPI

William Mark Collins, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Leonard Wood, MO
National Provider Identifier
1609841592
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54727 Issued in KS
Practice address
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-0471
NPI assigned
Feb 22, 2006
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 54727 KS Primary

Addresses

Primary practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Mailing address

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54727KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
Emporia Anesthesia Associates PA Nurse Anesthetist, Certified Registered PastSince Feb 21, 2021 Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients
Squaw Peak Anesthesia Inc Past Accepting new patients
Anesthesia Associates of Kansas City PA Past Accepting new patients
Henry P Beugelsdijk MD PA Past Accepting new patients
Turlock Anesthesia Medical Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Southeast Texas Freelance Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Anesthesia West, P.C. Past Accepting new patients
Anesthesia West, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
New Mexico Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Newton Anesthesia Services PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Care for Kids of Arizona Past Accepting new patients
Topeka Anesthesia & Pain Treatment, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1609841592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Leonard Wood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.