Individual provider Active NPI

Theresa Rae Baughman, CRNA

  • Certified Registered Nurse Anesthetist
  • Galena, KS
National Provider Identifier
1992455174
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-558014-102 Issued in KS
Practice address
444 Four States Dr Ste 1
Galena, KS 66739-4325
Phone
(417) 438-6984
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four States Anesthesia Services LLC (32 clinicians)

Practice addresses (Care Compare)

1000 James F Epps Rd
Suite 3
Branson, MO 65616-7354
Phone (417) 334-9689

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 540-7113

444 Four States Dr
Suite 2
Galena, KS 66739-4325
Phone (620) 783-4000

Hospital & facility affiliations

  • Integris Grove Hospital Hospital · Grove, OK · CCN 370113
  • Mercy Specialty Hospital Southeast Kansas Hospital · Galena, KS · CCN 170203

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in MO, KS, OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220823002098 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759764848 Reassigns benefits to 3 organizations
I20221208000801 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759764848 Reassigns benefits to 2 organizations
I20231113001754 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759764848 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2014002405MOMDRegistered Nurse
43-558014-102KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage Current
since Jul 18, 2022
Accepting new patients
Mercy Hospital Carthage Current
since Jul 18, 2022
Accepting new patients
Mercy Clinic Pittsburg LLC Nurse Anesthetist, Certified Registered Current
since Jul 23, 2024
Accepting new patients
Integris Ambulatory Care Corporation Current
since Oct 9, 2023
Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Nurse Anesthetist, Certified Registered Past
since May 20, 2013
Accepting new patients

Locations

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2014002405 MO
Certified Registered Nurse Anesthetist 367500000X 2022028091 MO
Certified Registered Nurse Anesthetist 367500000X 43-558014-102 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

444 Four States Dr Ste 1
Galena, KS 66739-4325

Mailing address

444 Four States Dr Ste 2
Galena, KS 66739-4325
Phone (417) 438-6984

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2022.

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1992455174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR STE 2",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394325",
            "telephone_number": "417-438-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR STE 1",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394325",
            "telephone_number": "417-438-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "THERESA",
        "middle_name": "RAE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2014002405",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2022028091",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-558014-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.