KELLY ANN BOCK CRNA
NPI 1104480219
Nurse Anesthetist, Certified Registered in Joplin, MO
About Kelly Ann Bock Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN BOCK CRNA (NPI 1104480219) is an individual nurse anesthetist, certified registered in Joplin, Missouri, licensed in Missouri (2019019657) and active in the NPI registry since April 2019. She is affiliated with Cox Medical Centers and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Kelly Ann Bock 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Bock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Joplin, MO 64804
- Reassigned Medicare billing, Missouri enrollment
- 427 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 105 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cox Medical Centers
Acute Care Hospitals · Springfield, MOFreeman Health System - Freeman West
Acute Care Hospitals · Joplin, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64804 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.
JOPLIN, MO 64804
JOPLIN, MO 64804
JOPLIN, MO 64804
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 Kelly Bock's NPI number?
The NPI number for Kelly Bock is 1104480219. It was assigned to this individual provider in the NPPES registry on April 24, 2019.
Where is Kelly Bock located?
Kelly Bock practices at 1102 W 32nd St, Joplin, MO 64804. The listed phone number is (417) 347-1111.
What is Kelly Bock's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelly Bock enrolled in Medicare?
Yes. Kelly Bock 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 Kelly Bock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bock reassigns Medicare benefits to 2 organizations: Freeman-Oak Hill Health System (Joplin, MO) and Ozark Anesthesia Associates, Inc. (Springfield, MO). 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 Kelly Bock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Bock affiliated with any hospitals?
According to CMS data, Kelly Bock is affiliated with Cox Medical Centers and Freeman Health System - Freeman West.
When was this NPI record last updated?
The NPPES record for Kelly Bock was last updated on October 11, 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.
# Kelly Ann Bock, CRNA · NPI 1104480219
Nurse Anesthetist, Certified Registered physician in Joplin, Missouri. Individual provider, active in the CMS NPPES registry since April 24, 2019.
## Identity
- **NPI:** 1104480219 (Entity type: Individual)
- **Enumerated:** April 24, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2019019657 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1102 W 32ND ST, Joplin, MO 64804-3503
- **Phone:** (417) 347-1111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Freeman-Oak Hill Health System (NPI 1679517023, Joplin, MO); Ozark Anesthesia Associates, Inc. (NPI 1831109586, Springfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104480219) · Data from the CMS NPPES public registry.