Joshua Condren

Individual provider Active NPI Certified Registered Nurse Anesthetist · Bolivar, MO

NPI 1992565840 · NPPES record last updated May 14, 2026

Key facts

NPI
1992565840
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
2024019217 (MO)
Practice address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone
(417) 326-6000
NPI assigned
Mar 19, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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 1

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, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Memorial Hospital District (50 clinicians)

Practice addresses (Care Compare)

1500 N Oakland Ave
Bolivar, MO 65613-3011

Hospital & facility affiliations

  • Citizens Memorial Hospital Hospital · Bolivar, MO · CCN 260195

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240716000102 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163967019 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2024019217MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Memorial Hospital District Nurse Anesthetist, Certified Registered Current
since Jun 1, 2024
Accepting new patients
Citizens Memorial Hospital District Current
since Jun 1, 2024
Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2024019217 MO Yes

Addresses

Primary practice location

1500 N Oakland Ave
Bolivar, MO 65613-3011

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011

Other providers in Bolivar, MO

All providers in Bolivar, MO · Certified Registered Nurse Anesthetist in Missouri

Sources for this page

Verify at the official NPI Registry.