Active NPI
Theresa Rae Baughman, CRNA
- Certified Registered Nurse Anesthetist
- Galena, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-558014-102
- 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.
-
- Certified Registered Nurse Anesthetist
- Joplin, MO
- NPI 1053382929
-
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1912751884
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- Family Medicine Physician
- Carthage, MO
- NPI 1558628222
-
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1760408975
NPD (past) NURSE ANESTHETIST, CERTIFIED REGISTERED
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Galena, KS
- NPI 1992341473
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
Care Compare affiliation Hospital -
- Ambulance
- Grove, OK
- NPI 1770626608
Care Compare affiliation Hospital
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
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
- Mercy Specialty Hospital Southeast Kansas
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO, KS, OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014002405 | MO | MD | Registered Nurse |
| 43-558014-102 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current |
Accepting new patients | |
| Mercy Hospital Carthage | Current |
Accepting new patients | |
| Mercy Clinic Pittsburg LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Integris Ambulatory Care Corporation | Current |
Accepting new patients | |
| Ascension Via Christi Hospital Pittsburg, Inc. | Nurse Anesthetist, Certified Registered | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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.