Individual provider Active NPI

Valorie L Johnson-Hall, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburg, KS
National Provider Identifier
1629163282
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
35484 Issued in KS
Practice address
1102 E Centennial
Pittsburg, KS 66762
Phone
(620) 232-0273
Fax
(620) 231-0081
NPI assigned
Oct 3, 2006
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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 35484 KS Primary

Addresses

Primary practice location

1102 E Centennial
Pittsburg, KS 66762

Mailing address

103 Rocky Circle
Carl Junction, MO 64834
Phone (620) 232-0273

Other identifiers 1

IdentifierTypeStateIssuer
100249140BMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000449 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012067622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
73.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
69.28
Promoting interoperability
100
Improvement activities
40
Cost
56.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35484KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coffeyville Regional Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Coffeyville Regional Medical Center, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Fredonia Regional Hospital CurrentSince May 1, 2024 Accepting new patients
Regional Medical Laboratory, Inc Current Accepting new patients
Fredonia Regional Hospital CurrentSince May 1, 2024 Accepting new patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Midwest Pathology Associates LLC Current Accepting new patients
Saint Luke's Hospital of Allen County, Inc CurrentSince Aug 19, 2020 Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

1527 Madison St
Fredonia, KS 66736
Phone (316) 378-2121

111 S 9th St
Humboldt, KS 66748
Phone (620) 473-3008

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1629163282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROCKY CIRCLE",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "64834",
            "telephone_number": "620-232-0273",
            "fax_number": "260-231-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E CENTENNIAL",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-232-0273",
            "fax_number": "620-231-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-HALL",
        "first_name": "VALORIE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "35484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249140B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.