Active NPI
Amy Dianne Shatto, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2012018726
- Practice address
- 1 Hospital Drive
Columbia, MO 65212 - Phone
- (573) 882-2568
- Fax
- (573) 882-2226
- NPI assigned
- Jun 20, 2012
- 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 | 2012018726 | MO | Primary |
Addresses
Primary practice location
1 Hospital Drive
Columbia, MO 65212
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other practice location 1
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 302-1661
Other practice location 2
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 302-1661
Other practice location 3
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 819846907 | Medicaid | MO |
Other names 1
- Amy Dianne Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120827000022 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3072760024 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Curators of the University of MissouriJefferson City Medical Group PCTruman Medical Center Incorporated
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-2100
1020 Hitt St
Columbia, MO 65212-0001
1100 Virginia Ave
Columbia, MO 65212-0001
Phone (573) 882-2667
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone (573) 556-5771
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000
Hospital & facility affiliations
- University of Missouri Health Care
- Lake Regional Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012018726 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| JCMG Surgery Center, Inc. | Current | Accepting new patients | |
| Lake of the Ozarks Pain Management Services, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
3520 W Edgewood Dr
Jefferson City, MO 65109
Phone (573) 556-7765
1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771
2301 Holmes St
Kansas City, MO 64108
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Organizations & group practices 23
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.
-
- Multi-Specialty Clinic/Center
- Jefferson City, MO
- NPI 1336189398
MO
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
MO
-
- Family Medicine Physician
- Fulton, MO
- NPI 1649099714
-
- Clinical Medical Laboratory
- Jefferson City, MO
- NPI 1811292105
-
- Family Medicine Physician
- Jefferson City, MO
- NPI 1104645274
-
- Orthopaedic Surgery Physician
- Jefferson City, MO
- NPI 1194880708
-
- Podiatrist
- Jefferson City, MO
- NPI 1871549345
-
- Dermatology Physician
- Jefferson City, MO
- NPI 1972668903
-
- Eyewear Supplier
- Columbia, MO
- NPI 1063815710
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1588177034
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
Hospital
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1699038166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DRIVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65212",
"telephone_number": "573-882-2568",
"fax_number": "573-882-2226"
}
],
"practiceLocations": [
{
"address_1": "54 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Osage Beach",
"state": "MO",
"postal_code": "650653050",
"country_code": "US",
"telephone_number": "573-302-1661",
"fax_number": "573-302-1719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "54 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Osage Beach",
"state": "MO",
"postal_code": "650653050",
"country_code": "US",
"telephone_number": "573-302-1661",
"fax_number": "573-302-1719",
"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": "SHATTO",
"first_name": "AMY",
"middle_name": "DIANNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2012018726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "819846907",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "ANDERSON",
"middle_name": "DIANNE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.