Nancy Stultz, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

117519 Issued in MO

Practice address

5419 NE Highway 103
Weir, KS 66781-4124

Phone

(620) 396-8439

NPI assigned

Mar 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four States Anesthesia Services LLCGroup PAC ID 8729973284, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Specialty Hospital Southeast Kansas Hospital, Galena, KS, CCN 170203

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

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.

• Four States Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Joplin, MO
  • NPI 1053382929

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955
  Medicare reassignment NPD
• Mercy Hospital Carthage

  • Family Medicine Physician
  • Carthage, MO
  • NPI 1558628222
  NPD
• Ambulatory Anesthesia Services of Missouri LLC

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1780831107

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Hannibal Regional Healthcare System Inc

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1003956095
  NPD (past)
• Mid West Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Sterling, CO
  • NPI 1558327056

  Nurse Anesthetist, Certified Registered

  NPD (past)
• St John's Regional Medical Center

  dba 21st Century Anesthesia

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1700032653

  Nurse Anesthetist, Certified Registered

  NPD (past)
• St Johns Regional Medical Center

  dba 21st Century Anesthesia

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1841240546

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Mercy Specialty Hospital Southeast Kansas

  • Special Hospital
  • Galena, KS
  • NPI 1992341473
  Care Compare affiliation

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932176567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 NE HIGHWAY 103",
            "address_2": "PO BOX 276",
            "city": "WEIR",
            "state": "KS",
            "postal_code": "667814124",
            "telephone_number": "620-396-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 NE HIGHWAY 103",
            "city": "WEIR",
            "state": "KS",
            "postal_code": "667814124",
            "telephone_number": "620-396-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULTZ",
        "first_name": "NANCY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "117519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "108602A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Ferlo, LPC, NCC

• Certified Registered Nurse Anesthetist in Weir, KS
• Providers in Weir, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.