Michael Casey Brooks, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Overland Park, KS
NPI 1629422787 · NPPES record last updated Apr 14, 2016
Key facts
- NPI
- 1629422787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 367500000X (KS)
- Practice address
- 5721 W 119TH St
Overland Park, KS 66209-3722 - Phone
- (913) 428-2900
- Fax
- (913) 428-2951
- NPI assigned
- Apr 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
12330 Metcalf Ave
Overland Park, KS 66213-1324
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100
Hospital & facility affiliations
- Saint Luke'S South Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160701000526 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355633868 | Reassigns benefits to 2 organizations |
| I20231016002849 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355633868 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 367500000X | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Associates of Kansas City PA | Current |
Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- mbrooks642392@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 367500000X | KS | Yes |
Addresses
Primary practice location
5721 W 119TH St
Overland Park, KS 66209-3722
Mailing address
8717 W 110TH St
Suite 600
Overland Park, KS 66210-2144
Phone (913) 428-2900
Other providers in Overland Park, KS
- Susan Brooks Hart
- Michele Diane Brooks-Smith
- Joni Brooks
- Kayla Brooks
- Mekhi Brooks
- Vicki L Brooks
- Megan Elizabeth Broomfield
- Judith Barbara Bross
- Kristi L Bross
- Aleah Claire Brost
All providers in Overland Park, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.