Active NPI
David A. Neill, CRNA
- Certified Registered Nurse Anesthetist
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 137173
- Practice address
- 400 S Woods Mill Rd
Ste. 140
Chesterfield, MO 63017-3429 - Phone
- (314) 485-1101
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 137173 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 137173 | MO | Primary |
Addresses
Primary practice location
400 S Woods Mill Rd
Ste. 140
Chesterfield, MO 63017-3429
Mailing address
12 Dandridge CT
Saint Peters, MO 63376-5963
Phone (636) 448-7042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Cherry St
Mercy Clinic Adult Hospitalists
Troy, MO 63379-1513
Phone (636) 528-3245
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137173 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Metro-West Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Partners, LTD. | Past | Accepting new patients |
Locations
400 S Woods Mill Rd
Ste 140
Chesterfield, MO 63017
Phone (314) 485-1101
450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828
450 E Sigler Ave
Ste C
Memphis, MO 63555
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Memphis, MO
- NPI 1083624647
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1043270465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1639399165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 DANDRIDGE CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765963",
"telephone_number": "636-448-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S WOODS MILL RD",
"address_2": "STE. 140",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173429",
"telephone_number": "314-485-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILL",
"first_name": "DAVID",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "137173",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "137173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.