MRS. ANGELIQUE IRENE CARROLL
NPI 1104273317
Nurse Anesthetist, Certified Registered in Independence, MO
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 enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
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.
Medicare Billing Reassignments
10Medicare enrollment records show Angelique Carroll reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blue Springs, MO 64014
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 1,339 clinicians in this Medicare group
Lees Summit, MO 64086
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: St Lukes East Anesthesia Services PC
- 78 clinicians in this Medicare group
Kansas City, MO 64131
- Reassigned Medicare billing, Missouri enrollment
- 48 clinicians in this Medicare group
Kansas City, MO 64118
- Reassigned Medicare billing, Kansas enrollment
- 25 clinicians in this Medicare group
Overland Park, KS 66211
- Reassigned Medicare billing, Kansas enrollment
- 32 clinicians in this Medicare group
Overland Park, KS 66210
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 328 clinicians in this Medicare group
Kansas City, MO 64154
- Reassigned Medicare billing, Missouri enrollment
- 50 clinicians in this Medicare group
Columbia, MO 65212
- Reassigned Medicare billing, Missouri enrollment
- 1,395 clinicians in this Medicare group
Lowell, AR 72745
- Reassigned Medicare billing, Missouri enrollment
- 7 clinicians in this Medicare group
Addison, TX 75001
- Reassigned Medicare billing, Kansas enrollment
- 59 clinicians in this Medicare group
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
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.
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, MOSaint Luke's East Hospital
Acute Care Hospitals · Lees Summit, MOPhysician 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.
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.
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.
INDEPENDENCE, MO 64057
INDEPENDENCE, MO 64057
INDEPENDENCE, MO 64057
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.
Which organizations bill Medicare for Angelique Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelique Carroll reassigns Medicare benefits to 10 organizations: Saint Luke's Physician Group Inc (Blue Springs, MO), St Lukes East Anesthesia Services,p.C. (Lees Summit, MO), Outpatient Anesthesia Specialists LLC (Kansas City, MO), Orthomed Staffing Of Missouri, LLC (Kansas City, MO), Novamed Eye Surgery Center Of Overland Park, LLC (Overland Park, KS) and 5 more organizations, listed in the Medicare section above. 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 Angelique Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angelique Carroll accept?
Health plans from Blue Cross and Blue Shield of Kansas City 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Angelique Irene Carroll · NPI 1104273317
Nurse Anesthetist, Certified Registered physician in Independence, Missouri. Individual provider, active in the CMS NPPES registry since May 17, 2016.
## Identity
- **NPI:** 1104273317 (Entity type: Individual)
- **Enumerated:** May 17, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2016019530 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19600 E 39TH ST S, Independence, MO 64057-2301
- **Phone:** (913) 428-2900 · **Fax:** (913) 428-2951
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO); St Lukes East Anesthesia Services,p.C. (NPI 1649283177, Lees Summit, MO); Outpatient Anesthesia Specialists LLC (NPI 1194828673, Kansas City, MO); Orthomed Staffing Of Missouri, LLC (NPI 1679322754, Kansas City, MO); Novamed Eye Surgery Center Of Overland Park, LLC (NPI 1285755330, Overland Park, KS); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1104273317) · Data from the CMS NPPES public registry.