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THOMAS DONNELLY RN
NPI 1053854901
Nurse Anesthetist, Certified Registered in Overland Park, KS

Active since November 27, 2016PECOS EnrolledAccepts Medicare Assignment
10500 QUIVIRA RD, OVERLAND PARK, KS 66215(913) 428-2900(913) 428-2951 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2017, Dec 19, 2016, Nov 27, 2016 (3 updates tracked since 2016).

About Thomas Donnelly Rn NPPES

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

THOMAS DONNELLY RN (NPI 1053854901) is an individual nurse anesthetist, certified registered in Overland Park, Kansas, licensed in Kansas (43-557464) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053854901
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTHOMAS DONNELLYCredential: RN
Location Address10500 QUIVIRA RDOverland Park, KS 66215-2306
Mailing Address8717 W 110th St, Suite 600Overland Park, KS 66210-2144 · (913) 428-2900 · Fax (913) 428-2951
Phone(913) 428-2900
Fax(913) 428-2951
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 27, 2016
Last NPPES UpdateFebruary 2, 20173 updates tracked since enumeration
✔ NPI 1053854901 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 · 43-557464
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 14-138111 (KS), 0001252011 (VA)
10500 QUIVIRA RD, Overland Park, KS 66215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Donnelly Rn 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 ID1153604475
PECOS Enrollment IDI20170213000737, I20190508002200
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Thomas Donnelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Associates Of Kansas City PA
2.2 mi
Anesthesiology
8717 W 110TH ST, SUITE 600
Overland Park, KS 66210
  • Reassigned Medicare billing, Kansas enrollment
  • 328 clinicians in this Medicare group
NPI 1174504732 (913) 428-2900
Orthomed Staffing Of Missouri, LLC
19 mi
Anesthesiology
211 NE 54TH ST STE 100
Kansas City, MO 64118
  • Reassigned Medicare billing, Kansas enrollment
  • 25 clinicians in this Medicare group
NPI 1679322754 (469) 896-9978
Orthomed Staffing LLC
429 mi
Anesthesiology
15305 DALLAS PKWY STE 900
Addison, TX 75001
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 59 clinicians in this Medicare group
NPI 1225514276 (469) 863-9978

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
18 services18 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
16 services15 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66215 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.

ABIGAIL LAUREN PLEISS
Student in an Organized Health Care Education/Training Program
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Johnson County (913) 541-6072
REBECCA ANN NELSON OTR
Occupational Therapist
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Johnson County (913) 541-5000
DOMINIC ROYSTER DO
Anesthesiology
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Johnson County (913) 541-5000
SAXTON GRAGG ARNP
Nurse Practitioner (Neonatal)
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Johnson County (913) 541-5275
MRS. VALERIE LYNN WILEN CRNA
Nurse Anesthetist, Certified Registered
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Johnson County (816) 763-5446
CASSIE STONE
Nurse Anesthetist, Certified Registered
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Johnson County (913) 541-5000
PETER HUYNH MD
Student in an Organized Health Care Education/Training Program
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Johnson County (913) 541-6022
CASSIDY MCCRAY DO
Student in an Organized Health Care Education/Training Program
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Johnson County (913) 541-5000

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 Thomas Donnelly's NPI number?

The NPI number for Thomas Donnelly is 1053854901. It was assigned to this individual provider in the NPPES registry on November 27, 2016.

Where is Thomas Donnelly located?

Thomas Donnelly practices at 10500 Quivira Rd, Overland Park, KS 66215. The listed phone number is (913) 428-2900.

What is Thomas Donnelly's specialty?

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

Is Thomas Donnelly enrolled in Medicare?

Yes. Thomas Donnelly 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.

Which organizations bill Medicare for Thomas Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Donnelly reassigns Medicare benefits to 3 organizations: Anesthesia Associates Of Kansas City PA (Overland Park, KS), Orthomed Staffing Of Missouri, LLC (Kansas City, MO) and Orthomed Staffing LLC (Addison, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Donnelly accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Thomas Donnelly 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.

When was this NPI record last updated?

The NPPES record for Thomas Donnelly was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.