Active NPI
Angela H Sperry
- Certified Registered Nurse Anesthetist
- Shawnee Mission, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 557468
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 632-2230
- Fax
- (913) 632-2297
- NPI assigned
- Dec 6, 2012
- Last updated
- Nov 24, 2020
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2017010131 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | RN2282545 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 397034 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 557468 | KS | Primary |
| Registered Nurse | 163W00000X | 139085 | KS | |
| Registered Nurse | 163W00000X | 2017002769 | MO |
Addresses
Primary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
PO Box 411895
Kansas City, MO 64141-1895
Phone (913) 632-2230
Other practice location 1
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5097
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02116101 | Other | MO | RAILROAD |
| 57876042 | Other | MO | BCBS KC |
| 201122090A | Medicaid | KS | |
| 910051443 | Medicaid | MO | |
| 57876022 | Other | KS | BCBS KC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Georgetown University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5097
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139085 | KS | MD | Registered Nurse |
| 2017002769 | MO | MD | Registered Nurse |
| RN2282545 | MA | MD | Certified Registered Nurse Anesthetist |
| 2017010131 | MO | MD | Certified Registered Nurse Anesthetist |
| 397034 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Physician Group Inc | Current | Accepting new patients | |
| Saint Luke's Physician Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Outpatient Anesthesia Specialists LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Anesthesia Associates, PA | Registered Nurse | Current | Accepting new patients |
| St Lukes East Anesthesia Services,P.C. | Current | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
9301 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-9300
1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lee's Summit, MO
- NPI 1649283177
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Registered Nurse
-
- Certified Registered Nurse Anesthetist
- Kansas City, MO
- NPI 1194828673
Nurse Anesthetist, Certified Registered
-
- Nurse Practitioner
- Overland Park, KS
- NPI 1043826563
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1740525492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411895",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411895",
"telephone_number": "913-632-2230",
"fax_number": "913-632-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 W 74TH ST",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662044004",
"telephone_number": "913-632-2230",
"fax_number": "913-632-2297"
}
],
"practiceLocations": [
{
"address_1": "100 NE Saint Lukes Blvd",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640866000",
"country_code": "US",
"telephone_number": "816-347-5097",
"fax_number": "816-347-5045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPERRY",
"first_name": "ANGELA",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2017010131",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2282545",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "397034",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "557468",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "139085",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2017002769",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P02116101",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "57876042",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201122090A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910051443",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "57876022",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.