Active NPI
Marguerite Elizabeth Kelly-Salo, CRNA
- Certified Registered Nurse Anesthetist
- Shawnee, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 556879
- Practice address
- 14616 W 50TH St
Shawnee, KS 66216-5107 - Phone
- (913) 268-0284
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1484333061 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 556879 | KS | Primary |
Addresses
Primary practice location
14616 W 50TH St
Shawnee, KS 66216-5107
Mailing address
14616 W 50TH St
Shawnee, KS 66216-5107
Phone (913) 268-0284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, OK
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 540-7113
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1484333061 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Four States Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Meritas Health Corporation | Past | Accepting new patients | |
| Anesthesia Services of Omaha LLC | Past | Accepting new patients |
Locations
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Joplin, MO
- NPI 1053382929
Nurse Anesthetist, Certified Registered, OK
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Anesthesiology Physician
- Topeka, KS
- NPI 1518933837
-
dba Omaha Pain Specialists, LLC
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1992127609
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Integris Health Grove Hospital
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
- General Acute Care Hospital
- Miami, OK
- NPI 1114931342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1902047608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14616 W 50TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662165107",
"telephone_number": "913-268-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14616 W 50TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662165107",
"telephone_number": "913-268-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY-SALO",
"first_name": "MARGUERITE",
"middle_name": "ELIZABETH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "1484333061",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "556879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, KS
- KC Shoe Stop, LLC (KCSS Specialty Durable Medical)
- KC Therapy Company LLC
- Kcas, LLC (KCAS Clinical Laboratory)
- Martin Ryan Keegan, PHARM.D
- Donald Keeney III, PHARMD
- Megan Elizabeth Kelly, APRN, DNP, PMHNP-BC
- Rachel C Kelly, LPC
- Stephanie L Kelly, RN
- Heather Kenworthy, LPN
- Katherine Elisabeth Kerner, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.