SONNY THANH PHAN CRNA
NPI 1366065211
Nurse Anesthetist, Certified Registered in Independence, MO

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
19600 E 39TH ST S, INDEPENDENCE, MO 64057(816) 698-7000(913) 428-2951 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Jan 7, 2026, Jun 1, 2020 and 1 more (4 updates tracked since 2020).

About Sonny Thanh Phan Crna NPPES

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

SONNY THANH PHAN CRNA (NPI 1366065211) is an individual nurse anesthetist, certified registered in Independence, Missouri, licensed in Missouri (127704) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Centerpoint Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366065211
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSONNY THANH PHANCredential: CRNA
Location Address19600 E 39TH ST SIndependence, MO 64057-2301
Mailing Address8717 W 110th St Ste 600Overland Park, KS 66210-2126 · (913) 428-2900 · Fax (913) 428-2951
Fax(913) 428-2951
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1366065211 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 · 127704
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

Secondary Practice Locations 2

Location 14401 Wornall RdKansas City, MO 64111-3220 · Phone (816) 932-2000
Location 25325 Faraon StSaint Joseph, MO 64506-3488 · Phone (816) 271-6350 · Fax (816) 271-6753

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

Sonny Thanh Phan 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 ID9133540883
PECOS Enrollment IDI20200604000814, I20200625002068
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

4

Medicare enrollment records show Sonny Phan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infusion Therapy
600 NE ADAMS DAIRY PKWY
Blue Springs, MO 64014
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: Saint Lukes Physician Group Inc
  • 845 clinicians in this Medicare group
Anesthesiology
100 NE SAINT LUKES BLVD
Lees Summit, MO 64086
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: St Lukes East Anesthesia Services PC
  • 78 clinicians in this Medicare group
Anesthesiology
8717 W 110TH ST, SUITE 600
Overland Park, KS 66210
  • Reassigned Medicare billing, Missouri enrollment
  • 281 clinicians in this Medicare group
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

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

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.

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 Sonny Phan's NPI number?

The NPI number for Sonny Phan is 1366065211. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Sonny Phan located?

Sonny Phan practices at 19600 E 39th St S, Independence, MO 64057. The listed phone number is (816) 698-7000.

What is Sonny Phan's specialty?

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

Is Sonny Phan enrolled in Medicare?

Yes. Sonny Phan 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 Sonny Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonny Phan reassigns Medicare benefits to 4 organizations: Saint Luke's Physician Group Inc (Blue Springs, MO), St Lukes East Anesthesia Services,p.C. (Lees Summit, MO), Anesthesia Associates Of Kansas City PA (Overland Park, KS) and The Curators Of The University Of Missouri (Columbia, 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 Sonny Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonny Phan accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Sonny Phan 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 Sonny Phan affiliated with any hospitals?

According to CMS data, Sonny Phan is affiliated with Centerpoint Medical Center and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Sonny Phan was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.