Individual provider Active NPI

Shanna Tuttle

  • Certified Registered Nurse Anesthetist
  • Merriam, KS
National Provider Identifier
1942697941
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-557625-121 Issued in KS
Practice address
9100 W 74TH St
Merriam, KS 66204-4004
Phone
(913) 676-2000
NPI assigned
Apr 17, 2015
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2015020549 MO
Certified Registered Nurse Anesthetist 367500000X 43-557625-121 KS Primary

Addresses

Primary practice location

9100 W 74TH St
Merriam, KS 66204-4004

Mailing address

12106 W 167TH Ter
Overland Park, KS 66221-7161

Other practice location 1

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, VI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150715000207 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860705225 Reassigns benefits to 6 organizations
I20181026001063 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860705225 Reassigns benefits to 5 organizations
I20220224002309 VI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860705225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derrick D. Jones P CGroup PAC ID 1254467202, 15 clinicians
Guardian Anesthesia Specialists LLCGroup PAC ID 5092932673, 26 clinicians
Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Practice addresses (Care Compare)

40 Norre Gade
Ste. 17
St Thomas, VI 00802
Phone (340) 714-2693

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 420-3939

52 A 10TH St
St Thomas, VI 00802
Phone (340) 776-1010

5520 College Blvd
Suite 200
Overland Park, KS 66211-1658
Phone (913) 491-3040

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

Nisky Ctr
Suite 19B
St Thomas, VI 00802
Phone (340) 774-3003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43-557625-121KSMDCertified Registered Nurse Anesthetist
2015020549MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince May 1, 2023 Accepting new patients
Outpatient Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 12, 2021 Accepting new patients
Midwest Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Novamed Eye Surgery Center of Overland Park, LLC Current Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 5, 2022 Accepting new patients
Guardian Anesthesia Specialists, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 4, 2021 Accepting new patients
Digestive Health Specialists, LLC CurrentSince Jan 1, 2021 Accepting new patients
Derrick D. Jones P C CurrentSince Mar 28, 2022 Accepting new patients
Consultants in Gastroenterology, PC PastSince Jul 11, 2011 Accepting new patients

Locations

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

5520 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 491-3040

5525 W 119th St
Ste 100
Overland Park, KS 66209
Phone (913) 906-0837

7840 W 165th St
Overland Park, KS 66223
Phone (913) 236-6455

3840 W 75th St
Prairie Vlg, KS 66208
Phone (913) 384-9600

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

9301 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-9300

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

3800 S Whitney Ave
Ste 100
Independence, MO 64055

1318 E 104th St
#C
Kansas City, MO 64131
Phone (816) 256-5200

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

2301 Holmes St
Kansas City, MO 64108

5151 NW 88th St
Kansas City, MO 64154
Phone (816) 420-3939

701 E 101st Ter
Kansas City, MO 64131
Phone (816) 523-0100

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

7900 Lees Summit Rd
Ste 374
Kansas City, MO 64139

9601 NE 79th St
Kansas City, MO 64158

2111 N Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 364-6416

3201 Ashland Ave
Saint Joseph, MO 64506
Phone (816) 279-0079

901 Heartland Rd
Ste 1820
Saint Joseph, MO 64506
Phone (816) 232-8877

506 Burkarth Rd
Ste B
Warrensburg, MO 64093
Phone (660) 747-1888

706 N Burkarth Rd
Bldg A
Warrensburg, MO 64093
Phone (660) 747-8868

Organizations & group practices 13

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 13

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1942697941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12106 W 167TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-676-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "SHANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2015020549",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-557625-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.