CAITLIN E CLARK CRNA
NPI 1093285017
Nurse Anesthetist, Certified Registered in Shawnee Mission, KS

Q: What is Caitlin Clark's NPI number?

The NPI number for Caitlin Clark is 1093285017. It was assigned to this individual provider in the NPPES registry on December 3, 2018. The provider is also known as Caitlin E Gardner.

Q: What is Caitlin Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caitlin Clark was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 03, 2018PECOS EnrolledAccepts 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: January 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2019, Dec 17, 2018, Dec 3, 2018 (3 updates tracked since 2018).

On this page

About Caitlin E Clark Crna NPPES

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

CAITLIN E CLARK CRNA (NPI 1093285017) is an individual nurse anesthetist, certified registered in Shawnee Mission, Kansas, licensed in Kansas (557656) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093285017

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameCAITLIN E CLARKCredential: CRNA

Location Address9100 W 74TH STShawnee Mission, KS 66204-4004

Mailing AddressPo Box 411895Kansas City, MO 64141-1895 · (913) 647-4100 · Fax (913) 258-2509

Phone(913) 632-2230

Fax(913) 632-2297

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 3, 2018

Last NPPES UpdateJanuary 25, 20193 updates tracked since enumeration

✔ NPI 1093285017 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 · 557656

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 119760 (KS)

9100 W 74TH ST, Shawnee Mission, KS 66204

Open in Google Maps ↗

Other Names 1

Former Name (1)Caitlin E Gardner

Accepted Insurance

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

Caitlin E Clark 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 ID9739429747

PECOS Enrollment IDI20190328001619

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

Medicare enrollment records show Caitlin Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Anesthesia Associates, PA

Same address

Anesthesiology

9100 W 74TH ST
Shawnee Mission, KS 66204

Reassigned Medicare billing, Kansas enrollment
157 clinicians in this Medicare group

NPI 1336192392 (913) 632-2230

Northstar Anesthesia Of Kansas, LLC

450 mi

Anesthesiology

2000 E LAMAR BLVD STE 400
Arlington, TX 76006

Reassigned Medicare billing, Kansas enrollment
91 clinicians in this Medicare group

NPI 1073942074 (682) 227-6850

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

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.

MRS. MARY SWINGLE CRNA

Nurse Anesthetist, Certified Registered

9100 W 74TH ST
MERRIAM, KS 66204

Johnson County (913) 632-2230

RHEUMATOLOGY SPECIALISTS OF KANSAS CITY PA

Specialist

9100 W 74TH ST
OVERLAND PARK, KS 66204

Johnson County (816) 753-5736

MS. PENNY ANN WALTER RD, LD

Dietitian, Registered

9100 W 74TH ST
SHAWNEE MISSION, KS 66204

Johnson County (913) 676-2195

LORENE CREASSER ARNP

Nurse Practitioner (Family)

9100 W 74TH ST
SHAWNEE MISSION, KS 66204

Johnson County (913) 676-2200

MS. ANN WHEELER BCBA

Behavior Analyst

9100 W 74TH ST
SHAWNEE MISSION, KS 66204

Johnson County (913) 676-2253

TYLER DAVIS DO

Anesthesiology

9100 W 74TH ST
SHAWNEE MISSION, KS 66204

Johnson County (913) 676-2000

ELIZABETH DANIELLE FLESHMAN

Registered Nurse

9100 W 74TH ST
MERRIAM, KS 66204

Johnson County (913) 909-2776

MITCHELL YOUNG

Nurse Anesthetist, Certified Registered

9100 W 74TH ST
MERRIAM, KS 66204

Johnson County (913) 676-2000

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 Caitlin Clark's NPI number?

The NPI number for Caitlin Clark is 1093285017. It was assigned to this individual provider in the NPPES registry on December 3, 2018. The provider is also known as Caitlin E Gardner.

Where is Caitlin Clark located?

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

What is Caitlin Clark's specialty?

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

Is Caitlin Clark enrolled in Medicare?

Yes. Caitlin Clark 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 Caitlin Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Clark reassigns Medicare benefits to 2 organizations: Midwest Anesthesia Associates, PA (Shawnee Mission, KS) and Northstar Anesthesia Of Kansas, LLC (Arlington, 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 Caitlin Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlin Clark accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Oscar Health and Oscar Insurance Company list Caitlin Clark 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 Caitlin Clark affiliated with any hospitals?

According to CMS data, Caitlin Clark is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Caitlin Clark was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.