Active NPI
Tracey Leann Stover, CRNA
- Certified Registered Nurse Anesthetist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 55019
- Practice address
- 1947 N Founders Cir
Wichita, KS 67206-3548 - Phone
- (316) 613-4600
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 55019 | KS | Primary |
Addresses
Primary practice location
1947 N Founders Cir
Wichita, KS 67206-3548
Mailing address
7702 E Oakmount St
Wichita, KS 67226-3527
Phone (316) 260-3330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100408210A | Medicaid | KS | |
| 430066312 | Other | RR MEDICARE GROUP CQ2302 | |
| 144633 | Other | KS | BCBS OF KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070904000645 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0941393144 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas Spine Anesthesia Corporation PA
Practice addresses (Care Compare)
818 N Emporia St
Suite 108
Wichita, KS 67214-3725
Phone (316) 262-7263
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 74.54
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Spine Anesthesia Corporation PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wichita Ambulatory Anesthesia Providers LLC | Current | Accepting new patients | |
| Kansas Gastroenterology LLC | Past | Accepting new patients | |
| Kansas Endoscopy LLC | Past | Accepting new patients | |
| Kansas Anesthesia Services LLC | Past | Accepting new patients | |
| Cardiovascular Anesthesia of Wichita, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Consulting Services, PA | Past | Accepting new patients |
Locations
1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640
9050 E 29th St N
Wichita, KS 67226
Phone (316) 722-6260
8200 W Central Ave
Ste 3
Wichita, KS 67212
Phone (316) 491-6300
7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388
3121 N Webb Rd
Ste 101
Wichita, KS 67226
Phone (316) 261-3130
3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000
818 N Emporia St
Ste 108
Wichita, KS 67214
Phone 31626244674296
Interoperability endpoints
- https://e38455df-8137-43ad-9077-b36c0bc0745d.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 7
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.
-
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1720345911
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1518070416
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1093048431
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1609856855
-
- Ambulatory Surgical Clinic/Center
- Wichita, KS
- NPI 1538153887
-
- Gastroenterology Physician
- Wichita, KS
- NPI 1477547727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1992744585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7702 E OAKMOUNT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672263527",
"telephone_number": "316-260-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1947 N FOUNDERS CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063548",
"telephone_number": "316-613-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "TRACEY",
"middle_name": "LEANN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "55019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100408210A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CQ2302",
"identifier": "430066312",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KS",
"identifier": "144633",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.