Individual provider Active NPI

Karen L Aviles, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, MO
National Provider Identifier
1952319600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
075774 Issued in MO
Practice address
1000 E Primrose St
Suite 520
Springfield, MO 65807-5154
Phone
(417) 269-4550
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 075774 MO Primary

Addresses

Primary practice location

1000 E Primrose St
Suite 520
Springfield, MO 65807-5154

Mailing address

1000 E Primrose St
Suite 520
Springfield, MO 65807-5154
Phone (417) 269-4550

Other identifiers 1

IdentifierTypeStateIssuer
912800307MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000694 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799951463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mattax Neu Prater Eye Center IncGroup PAC ID 6103713979, 13 clinicians
Four States Anesthesia Services LLCGroup PAC ID 8729973284, 32 clinicians

Practice addresses (Care Compare)

1265 E Primrose St
Springfield, MO 65804-4278
Phone 41788639371166

1905 W 32ND St
Suite 201
Joplin, MO 64804-1512
Phone (417) 206-7900

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
95
Improvement activities
40
Cost
77.49

Merit-based Incentive Payment System (MIPS)

Final score
80.88 of 100Reported as group
Quality
77.5
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mattax Neu Prater Eye Center Inc CurrentSince May 1, 2015 Accepting new patients
Mattax Neu Prater Eye Center, Inc. CurrentSince May 1, 2015 Accepting new patients
Mattax Neu Prater Eye Center, Inc. Past Accepting new patients
Ozark Anesthesia Associates, Inc. PastSince Jun 17, 2002 Accepting new patients

Locations

1265 E Primrose St
Springfield, MO 65804
Phone (417) 886-3937

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952319600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST",
            "address_2": "SUITE 520",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075154",
            "telephone_number": "417-269-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST",
            "address_2": "SUITE 520",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075154",
            "telephone_number": "417-269-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "075774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912800307",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • 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.