Individual provider Active NPI

John M Swift, CRNA

  • Certified Registered Nurse Anesthetist
  • Lees Summit, MO
National Provider Identifier
1902906498
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
064000 Issued in MO
Practice address
250 NE Mulberry St
SJS Medical Management, Suite 202
Lees Summit, MO 64086-4533
Phone
(816) 389-4130
Fax
(818) 389-4140
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 064000 MO Primary

Addresses

Primary practice location

250 NE Mulberry St
SJS Medical Management, Suite 202
Lees Summit, MO 64086-4533

Mailing address

250 NE Mulberry St
SJS Medical Management, Suite 202
Lees Summit, MO 64086-4533
Phone (816) 389-4130

Other identifiers 1

IdentifierTypeStateIssuer
912938115MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041012001392 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638139827 Reassigns benefits to 5 organizations
I20170906000785 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638139827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guardian Anesthesia ServicesGroup PAC ID 7315931540, 15 clinicians
Guardian Anesthesia Specialists LLCGroup PAC ID 5092932673, 26 clinicians

Practice addresses (Care Compare)

3840 W 75TH St
Prairie Village, KS 66208-4126
Phone (913) 384-9600

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 420-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
064000MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes East Anesthesia Services,P.C. CurrentSince Aug 8, 2017 Accepting new patients
Bates County Memorial Hospital CurrentSince Oct 1, 2010 Accepting new patients
Bates County Memorial Hospital CurrentSince Oct 1, 2010 Accepting new patients
Outpatient Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2017 Accepting new patients
Novamed Eye Surgery Center of Overland Park, LLC Current Accepting new patients
Digestive Health Specialists, LLC CurrentSince Nov 1, 2016 Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Guardian Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2017 Accepting new patients
Bates County Memorial Hospital Current Accepting new patients
Novamed Eye Surgery Center of Overland Park, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2021 Accepting new patients
Mawd Pathology Group Inc Current Accepting new patients
Guardian Anesthesia Specialists, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2017 Accepting new patients
Northland Anesthesiology Inc Past Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. Past Accepting new patients
Anesthesia Services of Blue Springs Past Accepting new patients

Locations

12239 Collection Ctr Dr
Chicago, IL 60693

5520 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 491-3040

3840 W 75th St
Prairie Vlg, KS 66208
Phone (913) 384-9600

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

3800 S Whitney Ave
Ste 100
Independence, MO 64055

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

211 NE 54th St
Ste 1
Kansas City, MO 64118
Phone (816) 455-4214

5151 NW 88th St
Kansas City, MO 64154
Phone (816) 420-3939

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

2111 N Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 364-6416

506 Burkarth Rd
Ste B
Warrensburg, MO 64093
Phone (660) 747-1888

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1902906498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NE MULBERRY ST",
            "address_2": "SJS MEDICAL MANAGEMENT, SUITE 202",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-389-4130",
            "fax_number": "818-389-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NE MULBERRY ST",
            "address_2": "SJS MEDICAL MANAGEMENT, SUITE 202",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-389-4130",
            "fax_number": "818-389-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "064000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912938115",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.