Individual provider Active NPI

Kelly Osborn, CRNA

  • Certified Registered Nurse Anesthetist
  • Fairfax, MO
National Provider Identifier
1982016754
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2014013824 Issued in MO
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

Updated by the provider on May 28, 2014

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 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, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141009001677 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224258447 Reassigns benefits to 3 organizations
I20141009002053 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224258447 Reassigns benefits to 4 organizations

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 LLCGroup PAC ID 2264794569, shared by 2 NPIs, 224 clinicians
Jennie Edmundson Memorial HospitalGroup PAC ID 9537064837, 59 clinicians

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 Hospital, Council Bluffs, IA, CCN 160047
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110063IAMDAthletic Trainer
2014013824MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Jun 1, 2016 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Leighow Anesthesia & Medical Aesthetics LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Jennie Edmundson Memorial Hospital CurrentSince Oct 31, 2025 Accepting new patients
Orthoanesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Alegent Creighton Clinic CurrentSince Jul 1, 2016 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.

Hospital & facility affiliations 4

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": "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.

Verify at the official NPI Registry.