Summit Surgical Anesthesia LLC
Organization Active NPI Certified Registered Nurse Anesthetist · Hutchinson, KS
NPI 1912685397 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1912685397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- SUMMIT SURGICAL ANESTHESIA LLC
- Practice address
- 1818 E 23Rd Ave
Hutchinson, KS 67502-1106 - Phone
- (620) 662-6000
- NPI assigned
- Jul 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Carrie Sue Baxter
- Title
- Doo
- Phone
- (620) 474-8980
Practitioners 21
-
Mary Elizabeth Dore, CRNA
-
Brian Fleeman, CRNA
-
Erin D Glassman, CRNA
-
Tisha Hoogendoorn, CRNA
-
Steven L Kamb, CRNA
-
Mark A Kerschen, CRNA
-
Daniel Lee, CRNA
-
Scott McCabe, CRNA
-
Marvin Ray Miller, CRNA
-
Michelle Lee Nelson, CRNA
-
Stephanie Ravenstien, CRNA
-
Kaitlin Smielevski, CRNA
-
Son D Tran, CRNA
-
Luke A Wetta, CRNA
-
Eric J Neuberger, CRNA
-
Annette R Lyons, CRNA
-
Carrie Baxter, RPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231103000961 | KS | Part B Supplier - Clinic/Group Practice | 7113374737 |
Receives reassigned benefits from 19 practitioners Practice locations: Hutchinson, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Mailing address
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Phone (620) 662-6000
Other providers in Hutchinson, KS
- Jay R Stucky
- Kristi Dawn Stutterheim
- Danielle Suderman
- Sullico, L.L.C
- Summit Healthcare, LLC
- Summit Surgical LLC
- Summit Surgical, LLC
- Summit Surgical, LLC
- Summit Surgical, LLC
- Sunflower Mental Wellness, LLC
All providers in Hutchinson, 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 Oct 27, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.