Individual provider Active NPI

Rachael A Shepard, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
National Provider Identifier
1952361826
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-557169-051 Issued in KS
Practice address
10021 N Maywood Ave
Kansas City, MO 64157-9670
Phone
(816) 591-7319
NPI assigned
Mar 24, 2006
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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 116495 MO
Certified Registered Nurse Anesthetist 367500000X 43-557169-051 KS Primary

Addresses

Primary practice location

10021 N Maywood Ave
Kansas City, MO 64157-9670

Mailing address

10021 N Maywood Ave
Kansas City, MO 64157-9670
Phone (816) 591-7319

Other identifiers 1

IdentifierTypeStateIssuer
910106400MedicaidMO

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060206000093 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709890205 Reassigns benefits to 7 organizations
I20140728000285 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709890205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LLCGroup PAC ID 4385544600, shared by 2 NPIs, 49 clinicians
Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians

Practice addresses (Care Compare)

11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230

4741 S Cochise Dr
Independence, MO 64055-6974
Phone (816) 478-1230

7230 W 129TH St
Overland Park, KS 66213-2624
Phone 9133384440224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43-557169-051KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy St. Francis Hospital CurrentSince Nov 13, 2023 Accepting new patients
Eye Care, LLC CurrentSince Mar 1, 2018 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Jan 3, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Nov 13, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 13, 2023 Accepting new patients
Northstar Anesthesia of Kansas, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2014 Accepting new patients
Excel Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Eye Care, LLC Current Accepting new patients
Eye Care LLC CurrentSince Mar 1, 2018 Accepting new patients
Eye Care, LLC CurrentSince Mar 1, 2018 Accepting new patients
Professional Anesthetic Care Inc CurrentSince Nov 1, 2019 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 13, 2023 Accepting new patients
James F Piontek Inc Past Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Consultants in Gastroenterology, PC PastSince Jul 11, 2011 Accepting new patients

Locations (25 of 30)

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

11120 Tomahawk Creek Pkwy
Leawood, KS 66211
Phone (913) 559-2440

11261 Nall Ave
Ste 200
Leawood, KS 66211
Phone (913) 671-3290

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

20375 W 151st St
Ste 403
Olathe, KS 66061
Phone (913) 780-4300

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

7230 W 129th St
Overland Park, KS 66213
Phone (913) 338-4440

619 SW Corporate Vw
Topeka, KS 66615
Phone (785) 232-6022

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

670 S Commercial St
Harrisonville, MO 64701

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

3800 S Whitney Ave
Independence, MO 64055
Phone 8164784887122

3800 S Whitney Ave
Ste 100
Independence, MO 64055

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

5330 N Oak Trfy
Ste 100
Kansas City, MO 64118

9601 NE 79th St
Kansas City, MO 64158

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

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

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

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

5202 Faraon St
Saint Joseph, MO 64506
Phone (316) 835-2231

Interoperability endpoints

  • Direct secure messaging: rachael.shepardcrna.p1@direct.dvc.nextgenshare.com

Organizations & group practices 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1952361826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 N MAYWOOD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579670",
            "telephone_number": "816-591-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 N MAYWOOD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579670",
            "telephone_number": "816-591-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "RACHAEL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "116495",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-557169-051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910106400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.