Bryan O Baxley, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Pittsburg, KS
NPI 1902934870 · NPPES record last updated Feb 4, 2020
Key facts
- NPI
- 1902934870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 55569 (KS)
- Practice address
- 1 Mt. Carmel Way
Pittsburg, KS 66762 - Phone
- (620) 232-0273
- Fax
- (620) 231-0081
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mercy Clinic Pittsburg LLC
Baxley Anesthetics of Kansas
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
- Mercy Hospital Pittsburg, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55569 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearny County Hospital | Current | Accepting new patients | |
| Mercy Clinic Pittsburg LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Midwest Pathology Associates LLC | Current | Accepting new patients | |
| Labette County Medical Center | Current |
Accepting new patients | |
| Brian Tolefree Crna LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current |
Accepting new patients | |
| Saint Luke'S Hospital of Allen County, Inc | Current |
Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current | Accepting new patients | |
| West Central Kansas Association Inc. | Current | Accepting new patients | |
| Cox Barton County Hospital | Current |
Accepting new patients | |
| Regional Medical Laboratory, Inc | Current | Accepting new patients | |
| Pathology Laboratory Associates, Inc. | Current | Accepting new patients | |
| Baxley Anesthetics of Kansas | Current |
Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Ascension Via Christi Hospital Pittsburg, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Freeman Surgical Center of Pittsburg, LLC | Current |
Accepting new patients | |
| Labette County Medical Center | Current |
Accepting new patients | |
| Saint Lukes of Garnett Inc | Past | Accepting new patients |
Locations
1602 W 15th Ave
Emporia, KS 66801
Phone (620) 340-0034
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
506 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7500
500 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7111
1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880
2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044
100 N Pine St
Pittsburg, KS 66762
Phone (620) 231-3750
1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
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
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 55569 | KS | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200425080A | Medicaid | KS |
Other providers in Pittsburg, KS
- Dawny M Barnhart
- Bartholomew & Dillon Counseling Services, Inc.
- Peter Bates
- Tamara Erin Battagler
- Kallie Ann Baughman
- Linda K Bean
- Trent Alan Becker
- Sherise Beckham
- Robert Beckwith
- Jade Behring
All providers in Pittsburg, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2020. 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.