Active NPI
Jason A. Bolyard, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2005029853
- Practice address
- 4401 Wornall Rd
Anesthesia Dept
Kansas City, MO 64111-3220 - Phone
- (816) 389-6030
- Fax
- (816) 389-6034
- NPI assigned
- Feb 26, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2005029853 | MO | Primary |
Addresses
Primary practice location
4401 Wornall Rd
Anesthesia Dept
Kansas City, MO 64111-3220
Mailing address
PO Box 504407
Saint Louis, MO 63150-4407
Phone (816) 502-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SRNA | Other | STUDENT | |
| 2005029853 | Other | MO | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 6TH Ave
Leavenworth, KS 66048-3248
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
12330 Metcalf Ave
Overland Park, KS 66213-1324
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005029853 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Westport Anesthesia Services of Missouri, PC | Past | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12541 Foster St
Ste 100
Overland Park, KS 66213
Phone (913) 317-3100
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kansas City, MO
- NPI 1912959032
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1790954501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504407",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631504407",
"telephone_number": "816-502-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"address_2": "ANESTHESIA DEPT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-389-6030",
"fax_number": "816-389-6034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLYARD",
"first_name": "JASON",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2005029853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENT",
"identifier": "SRNA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2005029853",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.