FOUR STATES ANESTHESIA SERVICES LLC
NPI 1053382929
Nurse Anesthetist, Certified Registered in Joplin, MO

Q: What is Four States Anesthesia Services LLC's NPI number?

The NPI number for Four States Anesthesia Services LLC is 1053382929. It was assigned to this organization in the NPPES registry on January 30, 2006.

Q: What is Four States Anesthesia Services LLC's specialty?

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

Active since January 30, 2006

1905 WEST 32ND STREET, SUITE #201, JOPLIN, MO 64804(417) 206-7900 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Four States Anesthesia Services Llc NPPES

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

FOUR STATES ANESTHESIA SERVICES LLC (NPI 1053382929) is a healthcare organization registered as a nurse anesthetist, certified registered in Joplin, Missouri and active in the NPI registry since January 2006. The organization lists Terri Susann Tracy, Member, as its authorized official.

NPPES Registry Identity

NPI1053382929

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameFOUR STATES ANESTHESIA SERVICES LLC

Location Address1905 WEST 32ND STREET, SUITE #201Joplin, MO 64804

Mailing AddressPo Box 388Newton, KS 67114-0388 · (316) 281-3700 · Fax (316) 282-4322

Phone(417) 206-7900

Organization SubpartNo

Authorized OfficialTerri Susann TracyMember · (417) 206-7900

Enumeration DateJanuary 30, 2006

Last NPPES UpdateMay 12, 2011

✔ NPI 1053382929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

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.

1905 WEST 32ND STREET, Joplin, MO 64804

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Four States Anesthesia Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 48 clinicians reassign Medicare billing to Four States Anesthesia Services LLC, which bills Medicare for the services they deliver. Of these, 20 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)47

Anesthesiology1