Jessica Marie Premis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2015032217 Issued in MO

Practice address

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254

Phone

(816) 691-2021

Fax

(816) 346-7690

NPI assigned

Jun 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
• Saint Luke's East Hospital Hospital, Lees Summit, MO, CCN 260216

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpremis387396@direct.saint-lukes.org

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.

• Saint Luke's Physician Group Inc

  dba Saint Luke's Medical Group

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801875091
  Medicare reassignment NPD
• Northstar Anesthesia of Kansas, LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1073942074

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Missouri, LLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1396191789

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Westglen Endoscopy Center LLC

  dba Westglen Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Shawnee, KS
  • NPI 1588644520
  Medicare reassignment NPD
• Meritas Health Corporation

  dba NKC Health

  • Anesthesiology Physician
  • North Kansas City, MO
  • NPI 1184267262
  NPD
• Meritas Health Corporation

  • Neurology Physician
  • Kansas City, MO
  • NPI 1669323291
  NPD
• Saint Lukes Physician Group Inc

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1043826563
  NPD
• Westglen Endoscopy Center LLC

  dba Westglen Endoscopy Center

  • Certified Registered Nurse Anesthetist
  • Shawnee, KS
  • NPI 1710215637

  Nurse Anesthetist, Certified Registered

  NPD
• Meritas Health Corporation

  dba NKC Health

  • Neurology Physician
  • North Kansas City, MO
  • NPI 1023439833
  NPD (past)
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619606159
  NPD (past)
• Northstar Anesthesia of Kentucky II, PLLC

  • Anesthesiology Physician
  • Carthage, MO
  • NPI 1225587504

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Luke's North Hospital

  dba Saint Luke's Norland Hospital-Smithville

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1942241799
  Care Compare affiliation
• Saint Lukes East Hospital

  dba Saint Luke's East Lee's Summit Hospital

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1053353490
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1700267788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W 22ND ST",
            "address_2": "APT. 508",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082077",
            "telephone_number": "618-550-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMIS",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557341",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2015032217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Ponce, M.S., CCC-SLP
• Avin Pothuloori, M.D.
• Amy Potthast
• Jason Jody Potts
• Taylor Powell
• Alayna Prenger, LAC, MSTCM
• Kaitlynn Rae Preston, DPT
• Brittany Quinn, PT, DPT
• Quiro Rehab LLC
• Vinay Raja, M.D.

• Certified Registered Nurse Anesthetist in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.