Active NPI
Dustin J Ulrich, CRNA
- Certified Registered Nurse Anesthetist
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2024020469
- Practice address
- 100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000 - Phone
- (816) 347-5097
- Fax
- (816) 347-5045
- NPI assigned
- May 30, 2024
- Last updated
- Jun 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2024020469 | MO | Primary |
| Registered Nurse | 163W00000X | 2014038675 | MO |
Addresses
Primary practice location
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Mailing address
PO Box 412431
Kansas City, MO 64141-2431
Phone (816) 347-5097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2024
- 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
2316 E Meyer Blvd
HCA Research Medical Center
Kansas City, MO 64132-1136
Phone (816) 276-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014038675 | MO | MD | Registered Nurse |
| 2024020469 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes East Anesthesia Services,P.C. | Current | Accepting new patients |
Locations
100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097
120 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Lee's Summit, MO
- NPI 1649283177
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Research Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1861232506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412431",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641412431",
"telephone_number": "816-347-5097",
"fax_number": "816-347-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NE SAINT LUKES BLVD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866000",
"telephone_number": "816-347-5097",
"fax_number": "816-347-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "DUSTIN",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-30",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2024020469",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2014038675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
- Joshua R Uecker, CRNA
- Princewill Ugbajah
- Uhl Integrative Chiropractic
- Nathaniel L. Uhl, D.C.
- Robin Ukleya, L.C.S.W.
- United Scripts LTC LLC
- University of Kansas Hospital Authority (Cancer Center Pharmacy-East)
- Mickey Lee Unsell, DDS
- US PT Therapy Services Inc. (Pinnacle Therapy Services (Lees Summit))
- Amber Utter, MA, LPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.