Active NPI
Kelly Osborn, CRNA
- Certified Registered Nurse Anesthetist
- Fairfax, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2014013824
- Practice address
- 26136 US Highway 59
Fairfax, MO 64446-9105 - Phone
- (660) 686-2325
- NPI assigned
- May 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2014013824 | MO | Primary |
Addresses
Primary practice location
26136 US Highway 59
Fairfax, MO 64446-9105
Mailing address
309 West St
Hamburg, IA 51640-1873
Phone (712) 382-1039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CHI Health Clinic Physician Enterprise-Anesthesia LLC
Practice addresses (Care Compare)
7500 Mercy Rd
Suite 1355
Omaha, NE 68124-2319
Phone (402) 717-4866
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (402) 717-4866
933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6111
Hospital & facility affiliations
- Methodist Jennie Edmundson
- CHI Health Immanuel
- Nebraska Spine Hospital, LLC
- CHI Health Mercy Council Bluffs
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110063 | IA | MD | Athletic Trainer |
| 2014013824 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Current | Accepting new patients | |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Leighow Anesthesia & Medical Aesthetics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jennie Edmundson Memorial Hospital | Current | Accepting new patients | |
| Orthoanesthesia, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Past | Accepting new patients |
Locations
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
201 Ridge St
Council Bluffs, IA 51503
Phone (712) 328-8892
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316
2771 Solution Ctr
Chicago, IL 60677
3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373
2727 N Clarkson St
Fremont, NE 68025
Phone (402) 727-8500
1710 S 70th St
Lincoln, NE 68506
Phone (402) 484-9090
4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010
2808 S 143rd Plz
Omaha, NE 68144
Phone (321) 223-0225
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020
11704 W Center Rd
Ste 110
Omaha, NE 68144
Phone (402) 212-0847
6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673
11819 Miracle Hills Dr
Ste 201
Omaha, NE 68154
Phone (402) 884-2450
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
9850 Nicholas St
Omaha, NE 68114
Phone (402) 343-1122
7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866
11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000
535 Fortune Dr
Ste 200
Papillion, NE 68046
Phone (402) 934-8040
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1942251269
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356858419
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1639687114
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1376936112
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1184265274
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
-
- Special Hospital
- Omaha, NE
- NPI 1649595448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1982016754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 WEST ST",
"city": "HAMBURG",
"state": "IA",
"postal_code": "516401873",
"telephone_number": "712-382-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26136 US HIGHWAY 59",
"city": "FAIRFAX",
"state": "MO",
"postal_code": "644469105",
"telephone_number": "660-686-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "KELLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2014013824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.