Individual provider Active NPI

Karen D Lucas, CRNA

  • Certified Registered Nurse Anesthetist
  • St Louis, MO
National Provider Identifier
1629058268
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
096916 Issued in MO
Practice address
6420 Clayton Road
St Louis, MO 63117-1811
Phone
(314) 768-8442
Fax
(314) 768-8442
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 096916 MO Primary

Addresses

Primary practice location

6420 Clayton Road
St Louis, MO 63117-1811

Mailing address

6420 Clayton Road
St Louis, MO 63117-1811
Phone (314) 768-8442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000204 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123047727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Washington University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South County Anesthesia Associates LTDGroup PAC ID 4082510383, 81 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
096916MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South County Anesthesia Associates, LTD. CurrentSince Oct 18, 2010 Accepting new patients
South County Anesthesia Associates, LTD CurrentSince Oct 18, 2010 Accepting new patients
Aim Anesthesia LLC CurrentSince Jun 1, 2019 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Past Accepting new patients
Freeman Neosho Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Hospital Jefferson Past Accepting new patients
Anesthesia Partners, LTD. Past Accepting new patients
Advanced Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

1101 W Gannon Dr
Festus, MO 63028
Phone (636) 931-5997

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

12601 Olive Blvd
Saint Louis, MO 63141
Phone (314) 878-2222

Organizations & group practices 9

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1629058268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON ROAD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631171811",
            "telephone_number": "314-768-8442",
            "fax_number": "314-768-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON ROAD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631171811",
            "telephone_number": "314-768-8442",
            "fax_number": "314-768-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KAREN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "096916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.