ELIJAH M PENNY CRNA
NPI 1033004031
Nurse Anesthetist, Certified Registered in Shawnee Mission, KS

Active since June 10, 2025Accepts Medicare Assignment
9100 W 74TH ST, SHAWNEE MISSION, KS 66204(913) 632-2230(913) 632-2297 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Jun 10, 2025 (2 updates tracked since 2025).

About Elijah M Penny Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH M PENNY CRNA (NPI 1033004031) is an individual nurse anesthetist, certified registered in Shawnee Mission, Kansas, licensed in Kansas (558301) and active in the NPI registry since June 2025. He is affiliated with Adventhealth Shawnee Mission and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2025).

NPPES Registry Identity

NPI1033004031
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameELIJAH M PENNYCredential: CRNA
Location Address9100 W 74TH STShawnee Mission, KS 66204-4004
Mailing AddressPo Box 411895Kansas City, MO 64141-1895 · (913) 647-4100 · Fax (913) 647-4120
Fax(913) 632-2297
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2025
Enumeration DateJune 10, 2025
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1033004031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in KS · 558301
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 135470 (KS)
9100 W 74TH ST, Shawnee Mission, KS 66204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elijah M Penny Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901312735
PECOS Enrollment IDI20250718004039

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
9100 W 74TH ST
MERRIAM, KS 66204
Specialist
9100 W 74TH ST
OVERLAND PARK, KS 66204
Dietitian, Registered
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Nurse Practitioner (Family)
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Behavior Analyst
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Anesthesiology
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Registered Nurse
9100 W 74TH ST
MERRIAM, KS 66204
Nurse Anesthetist, Certified Registered
9100 W 74TH ST
MERRIAM, KS 66204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Penny's NPI number?

The NPI number for Elijah Penny is 1033004031. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Elijah Penny located?

Elijah Penny practices at 9100 W 74th St, Shawnee Mission, KS 66204. The listed phone number is (913) 632-2230.

What is Elijah Penny's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Elijah Penny enrolled in Medicare?

Yes. Elijah Penny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elijah Penny accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Elijah Penny as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elijah Penny affiliated with any hospitals?

According to CMS data, Elijah Penny is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Elijah Penny was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.