Individual provider Active NPI

Chelsea Fernkopf, CRNA

  • Certified Registered Nurse Anesthetist
  • Topeka, KS
National Provider Identifier
1679174932
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-557846-051 Issued in KS
Practice address
823 SW Mulvane St
Topeka, KS 66606-1764
Phone
(660) 281-4308
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 14-147442-051 KS
Certified Registered Nurse Anesthetist 367500000X 43-557846-051 KS Primary

Addresses

Primary practice location

823 SW Mulvane St
Topeka, KS 66606-1764

Mailing address

4130 SW 33Rd Ter
Topeka, KS 66614-3606
Phone (660) 281-4308

Other identifiers 1

IdentifierTypeStateIssuer
43-557846-051OtherKSSTATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210219000439 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678988995 Reassigns benefits to 3 organizations
I20220729000303 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678988995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians

Practice addresses (Care Compare)

619 SW Corporate View Dr
Washburn Surgery Center
Topeka, KS 66615-1233
Phone (785) 232-6022

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-147442-051KSMDCritical Care Medicine Registered Nurse
43-557846-051KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Eye Care, LLC CurrentSince Oct 30, 2024 Accepting new patients
Eye Care LLC CurrentSince Oct 30, 2024 Accepting new patients
Eye Care, LLC CurrentSince Oct 30, 2024 Accepting new patients
Eye Care, LLC Current Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

9401 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 296-9391

3310 W 10th St
Sedalia, MO 65301
Phone (660) 829-2837

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1679174932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 SW 33RD TER",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666143606",
            "telephone_number": "660-281-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "660-281-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNKOPF",
        "first_name": "CHELSEA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "KS",
            "license": "14-147442-051",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-557846-051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "43-557846-051",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.