Individual provider Active NPI

Tracey Leann Stover, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1992744585
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55019 Issued in KS
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

Updated by the provider on Mar 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100408210AMedicaidKS
430066312OtherRR MEDICARE GROUP CQ2302
144633OtherKSBCBS OF KS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 56 clinicians

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 100Reported as group
Quality
74.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Spine Anesthesia Corporation PA Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2024 Accepting new patients
Wichita Ambulatory Anesthesia Providers LLC CurrentSince Oct 1, 2023 Accepting new patients
Kansas Gastroenterology LLC PastSince Jan 1, 2004 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.