Individual provider Active NPI

Brent Adam Cummins, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Topeka, KS
National Provider Identifier
1629362967
Registry record updated Jul 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
TMP 143164 Issued in KS
Practice address
823 SW Mulvane St
Suite 210
Topeka, KS 66606-1764
Phone
(785) 235-3451
Fax
(785) 235-1435
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-96043-041 KS
Certified Registered Nurse Anesthetist 367500000X TMP 143164 KS Primary

Addresses

Primary practice location

823 SW Mulvane St
Suite 210
Topeka, KS 66606-1764

Mailing address

823 SW Mulvane St
Suite 210
Topeka, KS 66606-1764
Phone (785) 235-3451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000609 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608046727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates LLPGroup PAC ID 4587631064, 17 clinicians

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

1829 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-96043-041KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates LLP Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2017 Accepting new patients

Locations

1829 College Ave
Manhattan, KS 66502
Phone (785) 776-5100

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manhattan Surgical HospitalManhattan, KS, CCN 170190 Hospital General Partnership Interest Jun 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311465600000",
    "number": "1629362967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "address_2": "SUITE 210",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-235-3451",
            "fax_number": "785-235-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "address_2": "SUITE 210",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-235-3451",
            "fax_number": "785-235-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "BRENT",
        "middle_name": "ADAM",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-96043-041",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "TMP 143164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.