Active NPI
Edina Bormann, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2021025134
- Practice address
- 1 S Keene St
Columbia, MO 65201-7199 - Phone
- (573) 443-2402
- NPI assigned
- May 3, 2021
- Last updated
- Oct 30, 2024
- 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 | 2021025134 | MO | Primary |
Addresses
Primary practice location
1 S Keene St
Columbia, MO 65201-7199
Mailing address
1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Columbia Orthopaedic Group, LLP | Current | Accepting new patients | |
| Columbia Orthopaedic Group, LLP | Current | Accepting new patients |
Locations
1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402
1 S Keene St
Ste 1
Columbia, MO 65201
1 S Keene St
Ste 100
Columbia, MO 65201
Phone (573) 499-6501
1410 Forum Katy Pkwy
Ste 102
Columbia, MO 65203
Phone (573) 397-6556
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
3520 W Edgewood Dr
Jefferson City, MO 65109
Phone (573) 556-7765
1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771
200 NE 54th St
Unit 200
Kansas City, MO 64118
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Columbia, MO
- NPI 1851392542
-
- Multi-Specialty Clinic/Center
- Jefferson City, MO
- NPI 1336189398
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Osage Beach, MO
- NPI 1942986484
-
dba JCMG Hematology/Oncology
- Hematology & Oncology Physician
- Jefferson City, MO
- NPI 1215093257
-
dba Fulton Express Care
- Family Medicine Physician
- Fulton, MO
- NPI 1649099714
-
dba JCMG Laboratory
- Clinical Medical Laboratory
- Jefferson City, MO
- NPI 1811292105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1992388391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S KEENE ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017199",
"telephone_number": "573-443-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S KEENE ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017199",
"telephone_number": "573-443-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORMANN",
"first_name": "EDINA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2021025134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.