Active NPI
Jonathan Bryan Sperry, CRNA
- Certified Registered Nurse Anesthetist
- Galena, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-557259-051
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OK
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43-557259-051 | KS | MD | Certified Registered Nurse Anesthetist |
| 2014017974 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Cox Barton County Hospital | Current | Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Anesthesia Associates of Joplin LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Midwest Pathology Associates LLC | Current | Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Anesthesia Associates of Grand Lake | Current | Accepting new patients | |
| Mercy Clinic Pittsburg LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Saint Luke's Hospital of Allen County, Inc | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ascension Via Christi Hospital Pittsburg, Inc. | Nurse Anesthetist, Certified Registered | Past | 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
- 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.
-
dba LCMC ER Physician Group
- Family Medicine Physician
- Parsons, KS
- NPI 1336133362
-
- Certified Registered Nurse Anesthetist
- Joplin, MO
- NPI 1588032742
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Joplin, MO
- NPI 1053382929
KS, OK
-
dba Nevada Regional Medical Center
- Rural Acute Care Hospital
- Nevada, MO
- NPI 1942283866
-
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1912751884
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Lamar, MO
- NPI 1174166177
-
- Critical Access Hospital
- Monett, MO
- NPI 1194757500
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Labette Health
- General Acute Care Hospital
- Parsons, KS
- NPI 1578560421
-
- Special Hospital
- Galena, KS
- NPI 1992341473
-
- General Acute Care Hospital
- Miami, OK
- NPI 1114931342
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
dba Nevada Regional Medical Center Professional Practice Clinic
- Surgery Physician
- Nevada, MO
- NPI 1164754859
Hospital
-
dba Nevada Regional Medical Center Wound Care Clinic
- Surgery Physician
- Nevada, MO
- NPI 1205164753
Hospital
-
dba Nevada Regional Medical Center Specialty Clinic
- General Practice Physician
- Nevada, MO
- NPI 1689904336
Hospital
-
dba Nevada Regional Medical Center
- Rural Acute Care Hospital
- Nevada, MO
- NPI 1942283866
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.