Active NPI
Amanda L Deschenes, CRNA
- Certified Registered Nurse Anesthetist
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2004004430
- Practice address
- 211 Saint Francis Dr
Cape Girardeau, MO 63703-5049 - Phone
- (866) 230-8550
- Fax
- (913) 341-5797
- NPI assigned
- Jan 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2004004430 | MO | Primary |
Addresses
Primary practice location
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Mailing address
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (866) 230-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00028029 | Other | MO | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 S Mount Auburn Rd
Suite 200
Cape Girardeau, MO 63703-4902
Phone (573) 332-7881
319 S Silver Springs Rd
Suite a
Cape Girardeau, MO 63703-6308
Phone (573) 339-7185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Hospital Physicians, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| ASC Anesthesia LLC | Current | Accepting new patients | |
| Southern Cross Medical Services Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| United Medical Services Inc. | Past | Accepting new patients |
Locations
300 S Mount Auburn Rd
Ste 200
Cpe Girardeau, MO 63703
Phone (573) 332-7881
319 S Silver Springs Rd
Ste A
Cpe Girardeau, MO 63703
Phone (573) 339-7185
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
Organizations & group practices 4
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
- Cape Girardeau, MO
- NPI 1740873033
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1023015468
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Nurse Anesthetist, Certified Registered
-
- Pain Medicine Physician
- Cape Girardeau, MO
- NPI 1790783009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1689851131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SAINT FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035049",
"telephone_number": "866-230-8550",
"fax_number": "913-341-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SAINT FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035049",
"telephone_number": "866-230-8550",
"fax_number": "913-341-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHENES",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2004004430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00028029",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.