Individual provider Active NPI

Jana E Ultzsch, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1790777977
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54443 Issued in KS
Practice address
2770 N Webb Rd
Wichita, KS 67226-8112
Phone
(800) 374-5326
Fax
(800) 374-7656
NPI assigned
Aug 16, 2005
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54443 KS Primary
Anesthesiology Physician 207L00000X 54443 KS

Addresses

Primary practice location

2770 N Webb Rd
Wichita, KS 67226-8112

Mailing address

PO Box 2897
Wichita, KS 67201-2897
Phone (800) 374-5326

Other identifiers 1

IdentifierTypeStateIssuer
100254500AMedicaidKS

Other names 1

  • Jana E Whitehair Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000545 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224077896 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision AnesthesiaGroup PAC ID 7719142223, 5 clinicians
Kansas Anesthesia Providers, LLCGroup PAC ID 6305206764, 24 clinicians
Anesthesia Consulting Services, PAGroup PAC ID 7214849710, 75 clinicians

Practice addresses (Care Compare)

1100 N Topeka St
Wichita, KS 67214-2810
Phone (316) 263-6273

1124 W 21St St
100 Andover Ambulatory Surgery Center
Andover, KS 67002-5500
Phone (316) 440-3200

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
54443KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Anesthesiology of Texas PLLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Vision Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2020 Accepting new patients
Kansas Anesthesia Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Anesthesia Consulting Services, PA Anesthesiology CurrentSince Jul 1, 2010 Accepting new patients
Wichita Ambulatory Anesthesia Providers LLC Anesthesiology CurrentSince Aug 20, 2022 Accepting new patients
Wichita Anesthesiology Chartered Anesthesiology Past Accepting new patients
Newton Anesthesia Services PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Kansas Professional Anesthesia and Pain Management Specialists, P.a. Anesthesiology PastSince May 14, 2001 Accepting new patients
Heartland Anesthesia Associates PA Anesthesiology Past Accepting new patients

Locations

1124 W 21st St
#100
Andover, KS 67002
Phone (316) 440-3200

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

1100 N Topeka St
Wichita, KS 67214
Phone (316) 263-6273

1540 N Lindberg Cir
Wichita, KS 67206
Phone (316) 249-4943

2770 N Webb Rd
Wichita, KS 67226
Phone (316) 630-4230

8080 E Central Ave
Ste 250
Wichita, KS 67206
Phone (316) 686-1564

818 N Emporia St
Ste 108
Wichita, KS 67214
Phone 31626244674296

8200 W Central Ave
Ste 3
Wichita, KS 67212
Phone (316) 491-6300

9050 E 29th St N
Wichita, KS 67226
Phone (316) 722-6260

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

9300 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 634-0404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1790777977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672012897",
            "telephone_number": "800-374-5326",
            "fax_number": "800-374-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268112",
            "telephone_number": "800-374-5326",
            "fax_number": "800-374-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULTZSCH",
        "first_name": "JANA",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54443",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "54443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254500A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "WHITEHAIR",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.