NPIMap

Individual provider Active NPI

Leslie Gloe, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, MO
National Provider Identifier
1669482196
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
155243 Issued in MO
Practice address
5047 S Burrows Ave
Springfield, MO 65810-2054
Phone
(417) 818-8355
NPI assigned
Aug 8, 2006
Last updated
Jan 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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 155243 MO Primary

Addresses

Primary practice location

5047 S Burrows Ave
Springfield, MO 65810-2054

Mailing address

5047 S Burrows Ave
Springfield, MO 65810-2054
Phone (417) 818-8355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051104000733 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406874734 Reassigns benefits to 4 organizations
I20150407001629 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406874734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Medical Group of MissouriGroup PAC ID 3476043233, 23 clinicians

Practice addresses (Care Compare)

100 Town Ctr Dr
Harrison, AR 72601-3038
Phone (870) 471-6060

3050 E River Bluff Blvd
Ozark, MO 65721-8807
Phone (417) 885-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155243MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Joplin Ambulatory Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 6, 2014 Accepting new patients
Renew Medical Group of Missouri Nurse Anesthetist, Certified Registered CurrentSince Sep 29, 2025 Accepting new patients
Capital Anesthesia Solutions of Missouri LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients

Locations

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

3050 E River Bluff Blvd
Ozark, MO 65721
Phone (417) 820-5610

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1669482196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 S BURROWS AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102054",
            "telephone_number": "417-818-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5047 S BURROWS AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102054",
            "telephone_number": "417-818-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOE",
        "first_name": "LESLIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "155243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.