Individual provider Active NPI

Amy Maria Hittle, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1669634911
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55673 Issued in KS
Practice address
929 N Saint Francis St
Wichita, KS 67214-3821
Phone
(800) 374-5326
Fax
(800) 374-7656
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Anesthesia of Wichita LLC 9 clinicians
Wichita Anesthesiology Chartered 68 clinicians

Practice addresses (Care Compare)

3601 N Webb Rd
Wichita, KS 67226-8129
Phone (316) 630-5000

8080 E Central Ave
Suite 250
Wichita, KS 67206-2367
Phone 3166867327202

Hospital & facility affiliations

  • Kansas Heart Hospital Hospital, Wichita, KS, CCN 170186
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000474 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870651607 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55673KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Anesthesia of Wichita, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2010 Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients

Locations

3601 N Webb Rd
Wichita, KS 67226
Phone (316) 360-5000

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 55673 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

929 N Saint Francis St
Wichita, KS 67214-3821

Mailing address

PO Box 356
Wichita, KS 67201-0356
Phone (800) 374-5326

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
P00660630OtherKSRR MEDICARE GROUP CQ2302
200574820AMedicaidKS

Other names 1

NPPES NPI Registry
  • Amy Maria Lorimor Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2009.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1669634911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010356",
            "telephone_number": "800-374-5326",
            "fax_number": "800-374-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "800-374-5326",
            "fax_number": "800-374-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITTLE",
        "first_name": "AMY",
        "middle_name": "MARIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CQ2302",
            "identifier": "P00660630",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200574820A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LORIMOR",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.