Kevin M. Deao, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Lamar, MO
NPI 1891107652 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1891107652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2016015976 (MO)
- Practice address
- 29 NW 1St LN
Lamar, MO 64759 - Phone
- (417) 681-5100
- NPI assigned
- May 28, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Pittsburg LLC
Practice addresses (Care Compare)
1 Mt Carmel Way
Pittsburg, KS 66762-7587
1 Mt Carmel Way FL
Pittsburg, KS 66762-7587
Phone (620) 231-6100
2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044
Hospital & facility affiliations
- Mercy Hospital Pittsburg, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.07 of 100
- Quality
- 45.41
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 70.66
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140717000502 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810113453 | Reassigns benefits to 2 organizations |
| I20161025000135 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810113453 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114826 | KS | MD | Registered Nurse |
| 2011013251 | MO | MD | Registered Nurse |
| 2016015976 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current |
Accepting new patients | |
| Mercy Clinic Pittsburg LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cox Barton County Hospital | Current |
Accepting new patients | |
| Ascension Via Christi Hospital Pittsburg, Inc. | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Locations
302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291
2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044
29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266
1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 114826 | KS | |
| Registered Nurse | 163W00000X | 2011013251 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 557258 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 2016015976 | MO | Yes |
Addresses
Primary practice location
29 NW 1St LN
Lamar, MO 64759
Mailing address
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2679
Other practice location 1
9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2679
Other practice location 2
100 N Pine St
Pittsburg, KS 66762-4756
Phone (620) 231-9072
Other providers in Lamar, MO
- Cox Barton County Hospital
- Cox Barton County Hospital
- Cox Barton County Hospital
- Melissa Nickole Crews
- Donna K. Daniel
- Pamela J Eaves
- Jonathan Etheridge
- Genice Farrell
- Andrea C Fast
- Charles Thomas Fielder
All providers in Lamar, MO · Certified Registered Nurse Anesthetist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. 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.