Active NPI
John Gasparovic, CRNA
- Certified Registered Nurse Anesthetist
- Overland Park, KS
National Provider Identifier
1619917846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 55010
- Practice address
- 10200 W 105TH St Ste 100
Overland Park, KS 66212-5750 - Phone
- (913) 492-0800
- Fax
- (913) 599-0951
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R173062-5 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 55010 | KS | Primary |
| Registered Nurse | 163W00000X | 64649 | KS |
Addresses
Primary practice location
10200 W 105TH St Ste 100
Overland Park, KS 66212-5750
Mailing address
20375 W 151St St Ste 306
Olathe, KS 66061-5306
Phone (913) 782-2292
Other practice location 1
20375 W 151st St
suite 306
Olathe, KS 66061-5306
Phone (913) 782-2292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100451880B | Medicaid | KS | |
| P00109289 | Other | KS | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060623000214 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4385638881 | Reassigns benefits to 1 organization |
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
Practice addresses (Care Compare)
10200 W 105TH St
Suite 100
Overland Park, KS 66212-5750
Phone (913) 492-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64649 | KS | MD | Registered Nurse |
| 55010 | KS | MD | Certified Registered Nurse Anesthetist |
| R173062-5 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Past | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Kansas Pain Management | Past | Accepting new patients | |
| Westglen Endoscopy Center LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Pain Medicine (Anesthesiology) Physician
- Overland Park, KS
- NPI 1104929546
-
- Ambulatory Surgical Clinic/Center
- Shawnee, KS
- NPI 1588644520
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Ambulatory Surgical Clinic/Center
- Duluth, MN
- NPI 1649223629
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1619917846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20375 W 151ST ST STE 306",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615306",
"telephone_number": "913-782-2292",
"fax_number": "913-782-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 W 105TH ST STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125750",
"telephone_number": "913-492-0800",
"fax_number": "913-599-0951"
}
],
"practiceLocations": [
{
"address_1": "20375 W 151st St",
"address_2": "suite 306",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "KS",
"postal_code": "660615306",
"country_code": "US",
"telephone_number": "913-782-2292",
"fax_number": "913-782-2381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASPAROVIC",
"first_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R173062-5",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "55010",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "64649",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100451880B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00109289",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.