Active NPI
Matthew J Buckneberg, CRNA
- Certified Registered Nurse Anesthetist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 14104168
- Practice address
- 12300 Metcalf Ave
Anesthesia Dept
Overland Park, KS 66213-1324 - Phone
- (816) 389-6030
- Fax
- (816) 389-6034
- NPI assigned
- Mar 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2019006510 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | D184960 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 14104168 | KS | Primary |
Addresses
Primary practice location
12300 Metcalf Ave
Anesthesia Dept
Overland Park, KS 66213-1324
Mailing address
9233 Ward Pkwy
Suite 230
Kansas City, MO 64114-3366
Phone (816) 389-6030
Other practice location 1
4000 Cambridge St
Kansas City, KS 66160-8501
Phone (913) 588-1224
Other practice location 2
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO, IA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D184960 | IA | MD | Certified Registered Nurse Anesthetist |
| 14104168 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Missouri LLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Rem Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Midwest Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Westport Anesthesia Services of Kansas PA | Past | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
8935 State Ave
Kansas City, KS 66112
Phone (816) 389-6030
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
7111 W 151st St
Overland Park, KS 66223
Phone (785) 403-0405
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
7840 W 165th St
Overland Park, KS 66223
Phone (913) 236-6455
15933 W 65th St
Shawnee, KS 66217
Phone (913) 239-0703
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
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
2037 SE 29th St
Topeka, KS 66605
Phone (785) 267-9500
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
Organizations & group practices 16
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
- Overland Park, KS
- NPI 1174504732
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1194516146
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Shawnee, KS
- NPI 1417609405
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
dba KU Anesthesiology
- Anesthesiology Physician
- Kansas City, KS
- NPI 1750459657
-
- Anesthesiology Physician
- Des Moines, IA
- NPI 1023809076
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Overland Park Regional Medical Center
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1790084499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9233 WARD PKWY",
"address_2": "SUITE 230",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641143366",
"telephone_number": "816-389-6030",
"fax_number": "816-389-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 METCALF AVE",
"address_2": "ANESTHESIA DEPT",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131324",
"telephone_number": "816-389-6030",
"fax_number": "816-389-6034"
}
],
"practiceLocations": [
{
"address_1": "4000 Cambridge St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608501",
"country_code": "US",
"telephone_number": "913-588-1224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 Clay Edwards Dr Ste 240",
"address_purpose": "LOCATION",
"city": "North Kansas City",
"state": "MO",
"postal_code": "641163254",
"country_code": "US",
"telephone_number": "816-691-2021",
"fax_number": "816-346-7690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKNEBERG",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-21",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2019006510",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D184960",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "14104168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.