Individual provider Active NPI

James Edward Miles, CRNA

  • Certified Registered Nurse Anesthetist
  • Galena, KS
National Provider Identifier
1720825482
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
162978 Issued in KS
Practice address
1619 K66
Galena, KS 66739-4306
Phone
(417) 358-8121
NPI assigned
Jul 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2025016993 MO
Certified Registered Nurse Anesthetist 367500000X 223143 OK
Certified Registered Nurse Anesthetist 367500000X 162978 KS Primary

Addresses

Primary practice location

1619 K66
Galena, KS 66739-4306

Mailing address

1506 Gold Dust Dr
Webb City, MO 64870-3009
Phone (417) 592-9304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250618003489 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305357070 Reassigns benefits to 3 organizations
I20250626000017 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305357070 Reassigns benefits to 1 organization
I20250630003292 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305357070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four States Anesthesia Services LLCGroup PAC ID 8729973284, 32 clinicians
Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

1531 E Bradford Pkwy
Suite 120
Springfield, MO 65804-6539
Phone (417) 886-3900

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

  • Mercy Specialty Hospital Southeast Kansas Hospital, Galena, KS, CCN 170203
  • Nevada Regional Medical Center Hospital, Nevada, MO, CCN 260061
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
162978KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Jul 1, 2025 Accepting new patients
Nevada City Hospital CurrentSince Nov 24, 2025 Accepting new patients
Nevada City Hospital CurrentSince Nov 24, 2025 Accepting new patients
Mercy Hospital Carthage CurrentSince Jul 1, 2025 Accepting new patients

Locations

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1720825482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 GOLD DUST DR",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648703009",
            "telephone_number": "417-592-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 K66",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394306",
            "telephone_number": "417-358-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2025016993",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "223143",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "162978",
            "primary": true
        }
    ],
    "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 May 30, 2025; 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.