Jana E Ultzsch, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Wichita, KS
NPI 1790777977 · NPPES record last updated Jul 6, 2010
Key facts
- NPI
- 1790777977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 54443 (KS)
- Practice address
- 2770 N Webb Rd
Wichita, KS 67226-8112 - Phone
- (800) 374-5326
- Fax
- (800) 374-7656
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vision Anesthesia
Kansas Anesthesia Providers, LLC
Anesthesia Consulting Services, PA
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
- Kansas Surgery & Recovery Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050503000545 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8224077896 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54443 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Anesthesiology of Texas PLLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Consulting Services, PA | Anesthesiology | Current |
Accepting new patients |
| Vision Anesthesia | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Wichita Ambulatory Anesthesia Providers LLC | Anesthesiology | Current |
Accepting new patients |
| Kansas Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Kansas Professional Anesthesia and Pain Management Specialists, P.a. | Anesthesiology | Past |
Accepting new patients |
| Wichita Anesthesiology Chartered | Anesthesiology | Past | Accepting new patients |
| Heartland Anesthesia Associates PA | Anesthesiology | Past | Accepting new patients |
| Newton Anesthesia Services PA | Nurse Anesthetist, Certified Registered | 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
9050 E 29th St N
Wichita, KS 67226
Phone (316) 722-6260
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
1540 N Lindberg Cir
Wichita, KS 67206
Phone (316) 249-4943
1100 N Topeka St
Wichita, KS 67214
Phone (316) 263-6273
2770 N Webb Rd
Wichita, KS 67226
Phone (316) 630-4230
8080 E Central Ave
Ste 250
Wichita, KS 67206
Phone (316) 686-1564
9300 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 634-0404
8200 W Central Ave
Ste 3
Wichita, KS 67212
Phone (316) 491-6300
818 N Emporia St
Ste 108
Wichita, KS 67214
Phone 31626244674296
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 54443 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 54443 | KS | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254500A | Medicaid | KS |
Other names
- Jana E Whitehair
Other providers in Wichita, KS
- Robert Leroy Ullom
- Ultra Care Home Plus LLC
- Ultrasound Professionals, Inc.
- Ultrasource, Inc.
- Gregory T Ultzsch
- Joshua Jim Umbehr
- Shannon Umberger
- Joy M Umholtz
- Umlc LLC
- Unbound Mind and Wellness LLC
All providers in Wichita, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.