Active NPI
Melissa Robertson, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2014020765
- Practice address
- 4401 Wornall Rd
Kansas City, MO 64111-3220 - Phone
- (816) 932-7940
- NPI assigned
- Apr 19, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2005000117 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 2014020765 | MO | Primary |
Addresses
Primary practice location
4401 Wornall Rd
Kansas City, MO 64111-3220
Mailing address
901 E 104TH St
Ms 400S
Kansas City, MO 64131-4517
Phone (816) 599-9499
Other practice location 1
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-9382
Other practice location 2
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014020765 | Other | MO | LICENSE |
| 910014783 | Medicaid | MO |
Other names 1
- Melissa Kindle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140708002520 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729203674 | Reassigns benefits to 3 organizations |
| I20140710000320 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729203674 | Reassigns benefits to 4 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
- Saint Lukes Physician Group IncAnesthesia Associates of Kansas City PACapital Anesthesia Solutions of Missouri LLC
Practice addresses (Care Compare)
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5000
19600 E 39TH St
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 698-7000
2316 E Meyer Blvd
HCA Research Medical Center
Kansas City, MO 64132-1136
Phone (816) 276-4000
5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000
Hospital & facility affiliations
- Research Medical Center
- Overland Park Reg Med Ctr
- Saint Luke'S East Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005000117 | MO | MD | Registered Nurse |
| 2014020765 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues KS PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Missouri, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capital Anesthesia Solutions of Missouri, LLC | Current | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400
201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
MO
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
KS, MO
-
- Anesthesiology Physician
- Chanute, KS
- NPI 1548813967
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1396191789
MO, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
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": "1397865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1689094401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MS 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-599-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-7940"
}
],
"practiceLocations": [
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-9382",
"fax_number": "816-404-7142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082640",
"country_code": "US",
"telephone_number": "816-404-1127",
"fax_number": "816-404-1103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "MELISSA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-19",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2005000117",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2014020765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2014020765",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910014783",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "KINDLE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.