Individual provider Active NPI

Michele Leigh Clements, CRNA

  • Certified Registered Nurse Anesthetist
  • North Kansas City, MO
National Provider Identifier
1619078664
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
095695 Issued in MO
Practice address
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone
(816) 691-2021
Fax
(816) 346-7690
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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 095695 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254

Mailing address

9386 Lime Stone Rd
Parkville, MO 64152-3169
Phone (816) 914-3142

Other identifiers 1

IdentifierTypeStateIssuer
919993709MedicaidMO

Other names 1

  • Ms. Michele Leigh Clements Professional name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180627000324 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416203807 Reassigns benefits to 2 organizations
I20180924000340 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416203807

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 520
North Kansas City, MO 64116-3274
Phone (816) 221-6750

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Current Accepting new patients
Heartland Regional Medical Center CurrentSince May 21, 2018 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Heartland Regional Medical Center CurrentSince May 21, 2018 Accepting new patients
Meritas Health Corporation CurrentSince Jan 1, 2020 Accepting new patients
Meritas Health Corporation CurrentSince Jan 1, 2020 Accepting new patients
Northland Anesthesiology Inc Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

2790 Clay Edwards Dr
Ste 520
North Kansas City, MO 64116
Phone (816) 551-6750

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

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.

Hospital & facility affiliations 3

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1619078664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9386 LIME STONE RD",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523169",
            "telephone_number": "816-914-3142",
            "fax_number": "816-321-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "MICHELE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "095695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "919993709",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "CLEMENTS",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.