Individual provider Active NPI

Jonathan Bryan Sperry, CRNA

  • Certified Registered Nurse Anesthetist
  • Galena, KS
National Provider Identifier
1689081143
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-557259-051 Issued in KS
Practice address
444 Four States Dr
Suite 1
Galena, KS 66739-4324
Phone
(620) 783-4000
NPI assigned
Jul 16, 2014
Last updated
Jul 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 43-557259-051 KS Primary
Certified Registered Nurse Anesthetist 367500000X 2014017974 MO

Addresses

Primary practice location

444 Four States Dr
Suite 1
Galena, KS 66739-4324

Mailing address

444 Four States Dr
Suite 1
Galena, KS 66739-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140805002974 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597982132 Reassigns benefits to 11 organizations
I20140805003059 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597982132 Reassigns benefits to 4 organizations
I20210114001608 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597982132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Joplin LLCGroup PAC ID 6305156290, 10 clinicians
Four States Anesthesia Services LLCGroup PAC ID 8729973284, 32 clinicians
Labette County Medical CenterGroup PAC ID 5496664369, 74 clinicians
Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

1531 E 32ND St
Suite 6
Joplin, MO 64804-2970
Phone (417) 627-9699

1619
K66
Galena, KS 66739-4306
Phone (620) 783-1732

1902 S Hwy 59
Crna Group
Parsons, KS 67357-4948
Phone (620) 421-4880

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 540-7113

444 Four States Dr
Suite 2
Galena, KS 66739-4325
Phone (620) 783-4000

800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43-557259-051KSMDCertified Registered Nurse Anesthetist
2014017974MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Jan 7, 2019 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 24, 2019 Accepting new patients
Mercy Hospital Cassville CurrentSince Jul 1, 2025 Accepting new patients
Cox Barton County Hospital CurrentSince Nov 1, 2020 Accepting new patients
Cox-Monett Hospital, Inc. Current Accepting new patients
Labette County Medical Center CurrentSince Mar 3, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 24, 2019 Accepting new patients
Mercy Hospital Cassville CurrentSince Jul 1, 2025 Accepting new patients
Mercy Hospital Aurora CurrentSince Jul 1, 2025 Accepting new patients
Labette County Medical Center Current Accepting new patients
Mercy Hospital Aurora CurrentSince Jul 1, 2025 Accepting new patients
Mercy Hospital Carthage CurrentSince Jan 7, 2019 Accepting new patients
Anesthesia Associates of Joplin LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 30, 2020 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jan 12, 2021 Accepting new patients
Midwest Pathology Associates LLC Current Accepting new patients
Labette County Medical Center CurrentSince Mar 3, 2021 Accepting new patients
Anesthesia Associates of Grand Lake CurrentSince May 25, 2022 Accepting new patients
Mercy Clinic Pittsburg LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2024 Accepting new patients
Saint Luke's Hospital of Allen County, Inc CurrentSince Aug 19, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 24, 2019 Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Nurse Anesthetist, Certified Registered PastSince May 20, 2013 Accepting new patients

Locations

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1531 E 32nd St
Ste 6
Joplin, MO 64804
Phone (417) 627-9699

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

29 NW 1st Ln
#One
Lamar, MO 64759
Phone (417) 681-5266

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 9

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1689081143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR",
            "address_2": "SUITE 1",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR",
            "address_2": "SUITE 1",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394324",
            "telephone_number": "620-783-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "JONATHAN",
        "middle_name": "BRYAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-557259-051",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2014017974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.