Active NPI
Shannon M Adair, CRNA
- Certified Registered Nurse Anesthetist
- Lees Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2022018936
- Practice address
- 100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000 - Phone
- (816) 347-5097
- Fax
- (816) 347-5045
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2014020259 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 2022018936 | MO | Primary |
Addresses
Primary practice location
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Mailing address
PO Box 412431
Kansas City, MO 64141-2431
Phone (913) 647-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220617000581 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7214316470 | Reassigns benefits to 2 organizations |
| I20260204003092 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7214316470 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014020259 | MO | MD | Registered Nurse |
| 2022018936 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomed Staffing LLC | Current | Accepting new patients | |
| St Lukes East Anesthesia Services,P.C. | Current | Accepting new patients |
Locations
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
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
200 NE 54th St
Unit 200
Kansas City, MO 64118
120 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5800
100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097
2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500
4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785
9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517
Organizations & group practices 2
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Missouri, Kansas City, School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes East Anesthesia Services PCOrthomed Staffing LLC
Practice addresses (Care Compare)
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5097
11340 Nall Ave
Suite 100
Leawood, KS 66211-2485
Phone (888) 324-7432
Hospital & facility affiliations
- Saint Luke'S East Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1972243442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412431",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641412431",
"telephone_number": "913-647-4100",
"fax_number": "913-647-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NE SAINT LUKES BLVD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866000",
"telephone_number": "816-347-5097",
"fax_number": "816-347-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAIR",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2014020259",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2022018936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.