Individual provider Active NPI

Kelli G Parker, CRNA

  • Certified Registered Nurse Anesthetist
  • Lee's Summit, MO
National Provider Identifier
1922326461
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
103137 Issued in MO
Practice address
250 NE Mulberry
Suite 202
Lee's Summit, MO 64086-4533
Phone
(816) 389-4137
Fax
(816) 389-4140
NPI assigned
May 7, 2010
Last updated
May 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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 103137 MO Primary

Addresses

Primary practice location

250 NE Mulberry
Suite 202
Lee's Summit, MO 64086-4533

Mailing address

250 NE Mulberry
Suite 202
Lee's Summit, MO 64086-4533
Phone (816) 389-4137

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100809000640 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103959358 Reassigns benefits to 2 organizations
I20210715002108 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103959358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Missouri, Kansas City, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Advanced Specialty Anesthesia LLCGroup PAC ID 5597764829, 9 clinicians

Practice addresses (Care Compare)

1050 Old Des Peres Rd
Suite 150
Saint Louis, MO 63131-1874
Phone (888) 324-7432

1201 Wakarusa Dr
Suite A3
Lawrence, KS 66049-3889
Phone (785) 856-6170

4940 W 137TH St
Leawood, KS 66224-5940
Phone (469) 863-9978

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Nov 14, 2025 Accepting new patients
Midwest Digestive Health Center LLC Current Accepting new patients
Advanced Specialty Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2021 Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. Past Accepting new patients
Total Joint Center of the Northland, LLC Past Accepting new patients

Locations

1201 Wakarusa Dr
Ste A3
Lawrence, KS 66049
Phone (785) 273-8080

11340 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (816) 786-4901

4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846

8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

200 NE 54th St
Unit 200
Kansas City, MO 64118

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500

3601 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 207-2000

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

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 569-2918

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 729-9780

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1922326461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NE MULBERRY",
            "address_2": "SUITE 202",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-389-4137",
            "fax_number": "816-389-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NE MULBERRY",
            "address_2": "SUITE 202",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-389-4137",
            "fax_number": "816-389-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KELLI",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "103137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.