Individual provider Active NPI

Bryan O Baxley, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburg, KS
National Provider Identifier
1902934870
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55569 Issued in KS
Practice address
1 Mt. Carmel Way
Pittsburg, KS 66762
Phone
(620) 232-0273
Fax
(620) 231-0081
NPI assigned
Mar 1, 2007
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 55569 KS Primary

Addresses

Primary practice location

1 Mt. Carmel Way
Pittsburg, KS 66762

Mailing address

1 Mt. Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

Other practice location 1

1400 W 4th St
Coffeyville, KS 67337-3306
Phone (620) 251-1200

Other identifiers 1

IdentifierTypeStateIssuer
200425080AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070319000571 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456454073 Reassigns benefits to 12 organizations
I20151211002146 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456454073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians
Baxley Anesthetics of KansasGroup PAC ID 1951776764, 3 clinicians

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

1602 W 15TH Ave
Emporia, KS 66801-9803
Phone (620) 342-6989

2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55569KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Barton County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Cox-Monett Hospital, Inc. Current Accepting new patients
Labette County Medical Center CurrentSince May 19, 2008 Accepting new patients
Saint Lukes Hospital of Garnett Inc Current Accepting new patients
Labette County Medical Center Current Accepting new patients
West Central Kansas Association Inc. Current Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Jan 17, 2025 Accepting new patients
Brian Tolefree Crna LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
Regional Medical Laboratory, Inc Current Accepting new patients
Baxley Anesthetics of Kansas CurrentSince Mar 1, 2023 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Jan 17, 2025 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Apr 10, 2022 Accepting new patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2007 Accepting new patients
Midwest Pathology Associates LLC Current Accepting new patients
Labette County Medical Center CurrentSince May 19, 2008 Accepting new patients
Kearny County Hospital Current Accepting new patients
Freeman Surgical Center of Pittsburg, LLC CurrentSince Jul 1, 2015 Accepting new patients
Mercy Clinic Pittsburg LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2024 Accepting new patients
Saint Luke's Hospital of Allen County, Inc CurrentSince Aug 19, 2020 Accepting new patients
Saint Lukes of Garnett Inc Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

1602 W 15th Ave
Emporia, KS 66801
Phone (620) 208-8518

1602 W 15th Ave
Ste A
Emporia, KS 66801
Phone (620) 343-7200

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

500 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7111

506 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7500

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

100 N Pine St
Pittsburg, KS 66762
Phone (620) 231-3750

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

200 S Main St
Russell, KS 67665
Phone (785) 483-2323

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1902934870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MT. CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-231-6100",
            "fax_number": "620-231-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MT. CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-232-0273",
            "fax_number": "620-231-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Coffeyville",
            "state": "KS",
            "postal_code": "673373306",
            "country_code": "US",
            "telephone_number": "620-251-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "BRYAN",
        "middle_name": "O",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.