NPIMap

Leslie Gloe, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Springfield, MO

NPI 1669482196 · NPPES record last updated Jan 19, 2015

Key facts

NPI
1669482196
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
155243 (MO)
Practice address
5047 S Burrows Ave
Springfield, MO 65810-2054
Phone
(417) 818-8355
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 16

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 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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
Baxter County Regional Hospital Inc (75 clinicians)
Renew Medical Group of Missouri (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

  • Mercy Hospital Springfield Hospital · Springfield, MO · CCN 260065
  • North Arkansas Regional Medical Center Hospital · Harrison, AR · CCN 040017

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, AR

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
155243MOMDCertified Registered Nurse Anesthetist

Practice roles

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 155243 MO Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 19, 2015.

{
    "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

All providers in Springfield, MO · Certified Registered Nurse Anesthetist in Missouri

Sources for this page

Verify at the official NPI Registry.