Active NPI
Joseph M Dietrick, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 121706
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2640 - Phone
- (816) 404-3495
- NPI assigned
- Jul 13, 2006
- Last updated
- Oct 5, 2007
- 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 | 121706 | MO | Primary |
| Registered Nurse | 163W00000X | 121706 | MO |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2640
Mailing address
2301 Holmes St
Kansas City, MO 64108-2640
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
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Hospital of Chillicothe
Practice addresses (Care Compare)
2791 N Washington St
Chillicothe, MO 64601-2902
Phone (816) 646-1480
2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-1480
705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.76 of 100
- Quality
- 46.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 53.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Harrison County Community Hospital District | Current | Accepting new patients | |
| Saint Luke's Hospital of Trenton | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Saint Luke's Hospital of Trenton | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Past | Accepting new patients |
Locations
2600 Miller St
Bethany, MO 64424
Phone (660) 425-0253
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
2301 Holmes St
Kansas City, MO 64108
Phone (816) 404-4175
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
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.
-
dba Mosaic Medical Center Albany
- Medicare Defined Swing Bed Hospital Unit
- Albany, MO
- NPI 1124164322
-
dba Harrison County Community Hospital
- Critical Access Hospital
- Bethany, MO
- NPI 1528062569
-
dba Wright Memorial Hospital
- Critical Access Hospital
- Trenton, MO
- NPI 1841274057
-
dba Hedrick Medical Center
- Emergency Medicine Physician
- Chillicothe, MO
- NPI 1245433127
-
dba Hedrick Medical Center
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
-
- Critical Access Hospital
- Carrollton, MO
- NPI 1528067113
-
dba Saint Luke's Mercer County Clinic
- Rural Health Clinic/Center
- Princeton, MO
- NPI 1962877514
-
dba Hedrick Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Chillicothe, MO
- NPI 1881638203
-
dba Pershing Memorial Hospital
- Primary Care Clinic/Center
- Brookfield, MO
- NPI 1982612461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1861418113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082640",
"telephone_number": "816-404-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETRICK",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "121706",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "121706",
"primary": false
}
],
"identifiers": [],
"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 Oct 5, 2007; 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.