Active NPI
Debra G Felderhoff, CRNA
- Certified Registered Nurse Anesthetist
- Saint Joseph, MO
National Provider Identifier
1619946696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 070648
- Practice address
- 5325 Faraon St
Saint Joseph, MO 64506-3488 - Phone
- (816) 271-6350
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 070648 | MO | Primary |
Addresses
Primary practice location
5325 Faraon St
Saint Joseph, MO 64506-3488
Mailing address
5325 Faraon St
Saint Joseph, MO 64506-3488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915064406 | Medicaid | MO | |
| P00223555 | Other | MO | RAILROAD MEDICARE |
| 22413068 | Other | MO | BLUE CROSS BLUE SHIHELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Kansas City PA | Past | Accepting new patients | |
| St Joseph Anesthesia Services, P.C. | Past | Accepting new patients | |
| Professional Anesthetic Care Inc | Past | Accepting new patients | |
| Northland Anesthesiology Inc | Past | Accepting new patients | |
| Robert C. Paolillo,Ddspc | Past | Accepting new patients | |
| Midwestern Health Management, Inc. | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Saint Joseph, MO
- NPI 1104962901
-
- Anesthesiology Physician
- North Kansas City, MO
- NPI 1346341310
-
- Anesthesiology Physician
- Liberty, MO
- NPI 1922053461
-
- Oral and Maxillofacial Surgery (Dentist)
- Saint Joseph, MO
- NPI 1417058926
-
- Pain Medicine (Anesthesiology) Physician
- Kansas City, MO
- NPI 1659384188
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1619946696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 FARAON ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 FARAON ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063488",
"telephone_number": "816-271-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDERHOFF",
"first_name": "DEBRA",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "070648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "915064406",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00223555",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIHELD",
"identifier": "22413068",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.