MRS. ANGELIQUE IRENE CARROLL
NPI 1104273317
Nurse Anesthetist, Certified Registered in Independence, MO

Active since May 17, 2016Accepts Medicare Assignment
52.46/100
CMS Quality Rating
19600 E 39TH ST S, INDEPENDENCE, MO 64057(913) 428-2900(913) 428-2951 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2016, Jun 22, 2016, May 17, 2016 (3 updates tracked since 2016).

About Mrs. Angelique Irene Carroll NPPES

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

MRS. ANGELIQUE IRENE CARROLL (NPI 1104273317) is an individual nurse anesthetist, certified registered in Independence, Missouri, licensed in Missouri (2016019530) and active in the NPI registry since May 2016. She is affiliated with University Of Missouri Health Care and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104273317
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. ANGELIQUE IRENE CARROLL
Location Address19600 E 39TH ST SIndependence, MO 64057-2301
Mailing Address8717 W 110th St, Suite 600Overland Park, KS 66210-2144 · (913) 428-2900 · Fax (913) 428-2951
Fax(913) 428-2951
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateSeptember 12, 20163 updates tracked since enumeration
NPI 1104273317 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
License Licensed in MO · 2016019530
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.

19600 E 39TH ST S, Independence, MO 64057

Other Names 1

Former Name (1)Ms. Angelique Irene Davis

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

Mrs. Angelique Irene Carroll 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 ID7416241740
PECOS Enrollment IDI20160810000667, I20230712000487

Areas of Expertise CMS Part B claims

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 other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64057 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

52.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.07
Improvement Activities40

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.

Skilled Nursing Facility
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Nurse Anesthetist, Certified Registered
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Emergency Medicine
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Nurse Anesthetist, Certified Registered
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Hospitalist
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Nurse Anesthetist, Certified Registered
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Nurse Practitioner (Neonatal)
19600 E 39TH ST S, ATTN: NICU
INDEPENDENCE, MO 64057
Internal Medicine
19600 E 39TH ST S
INDEPENDENCE, MO 64057

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 Angelique Carroll's NPI number?

The NPI number for Angelique Carroll is 1104273317. It was assigned to this individual provider in the NPPES registry on May 17, 2016. The provider is also known as Ms. Angelique Irene Davis.

Where is Angelique Carroll located?

Angelique Carroll practices at 19600 E 39th St S, Independence, MO 64057. The listed phone number is (913) 428-2900.

What is Angelique Carroll's specialty?

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

Is Angelique Carroll enrolled in Medicare?

Yes. Angelique Carroll 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 Angelique Carroll accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Angelique Carroll 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 Angelique Carroll affiliated with any hospitals?

According to CMS data, Angelique Carroll is affiliated with University Of Missouri Health Care and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Angelique Carroll was last updated on September 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.