Individual provider Active NPI

Elizabeth A Depriest, CRNA

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
National Provider Identifier
1891725107
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55124 Issued in KS
Practice address
10720 Nall Ave
Overland Park, KS 66211-1206
Phone
(913) 754-5000
Fax
(913) 754-4560
NPI assigned
Jul 3, 2006
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 55124 KS Primary
Registered Nurse 163W00000X 1456771112 KS

Addresses

Primary practice location

10720 Nall Ave
Overland Park, KS 66211-1206

Mailing address

10720 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 754-5000

Other identifiers 2

IdentifierTypeStateIssuer
200355380CMedicaidKS
P00619216OtherKSRR MEDICARE

Other names 1

  • Mrs. Elizabeth A. Depriest Reuter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000714 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133114382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gasgas LLCGroup PAC ID 3870786544, 15 clinicians

Practice addresses (Care Compare)

10200 W 105TH St
Suite 100
Overland Park, KS 66212-5750
Phone (913) 492-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1456771112KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Westglen Endoscopy Center LLC CurrentSince Jan 5, 2023 Accepting new patients
Westglen Endoscopy Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2023 Accepting new patients
Kansas Pain Management Past Accepting new patients
Northland Anesthesiology Inc Past Accepting new patients
Advanced Pain Therapy PA Past Accepting new patients
Heartland Specialty Anesthesia Services, PA Past Accepting new patients
Johnson County Anesthesiologists, Chartered Registered Nurse PastSince Sep 15, 2019 Accepting new patients

Locations

16663 Midland Dr
#200
Shawnee, KS 66217
Phone (913) 248-8800

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1891725107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111206",
            "telephone_number": "913-754-5000",
            "fax_number": "913-754-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111206",
            "telephone_number": "913-754-5000",
            "fax_number": "913-754-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPRIEST",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55124",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1456771112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200355380C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00619216",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DEPRIEST REUTER",
            "middle_name": "A.",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.

Verify at the official NPI Registry.