MARK D. BANDERMAN CRNA
NPI 1558577189
Nurse Anesthetist, Certified Registered in Kansas City, MO

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-1127(816) 404-1103 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2020, Nov 19, 2020 (2 updates tracked since 2020).

About Mark D. Banderman Crna NPPES

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

MARK D. BANDERMAN CRNA (NPI 1558577189) is an individual nurse anesthetist, certified registered in Kansas City, Missouri, licensed in Missouri (134568) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1558577189
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK D. BANDERMANCredential: CRNA
Location Address2301 HOLMES STKansas City, MO 64108-2640
Mailing Address247 Marcellus DrBerea, KY 40403-2008
Fax(816) 404-1103
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 14, 2007
Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1558577189 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 · 134568
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.
2301 HOLMES ST, Kansas City, MO 64108

Secondary Practice Location 1

Location 112300 Metcalf Ave, Anesthesia DeptOverland Park, KS 66213-1324 · Phone (816) 389-6030 · Fax (816) 389-6034

Other Identifiers 2

Other134568MO · Mo Rn License
Other1477923102KS · Ks Rn License

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

Mark D. Banderman 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 ID3577663400
PECOS Enrollment IDI20080325000124
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

6

Medicare enrollment records show Mark Banderman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
2301 HOLMES ST
Kansas City, MO 64108
  • Reassigned Medicare billing, Missouri enrollment
  • 364 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1169 EASTERN PKWY STE 400
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 46 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
789 EASTERN BYP STE 2A
Richmond, KY 40475
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
275 HWY 770
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 42 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1710 CUMBERLAND FALLS HWY
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 12 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
550 FORT LOUDOUN MEDICAL CENTER DRIVE
Lenoir City, TN 37772
  • Reassigned Medicare billing, Tennessee enrollment
  • 124 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 5

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
34 services31 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
34 services34 patients
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.
20 services20 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
19 services19 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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.

Dietitian, Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Pharmacist
2301 HOLMES ST
KANSAS CITY, MO 64108
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 HOLMES ST
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Critical Care Medicine)
2301 HOLMES ST
KANSAS CITY, MO 64108

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 Mark Banderman's NPI number?

The NPI number for Mark Banderman is 1558577189. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Mark Banderman located?

Mark Banderman practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-1127.

What is Mark Banderman's specialty?

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

Is Mark Banderman enrolled in Medicare?

Yes. Mark Banderman 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 Mark Banderman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Banderman reassigns Medicare benefits to 6 organizations: Truman Medical Center Incorporated (Kansas City, MO), Providian Anesthesia LLC (Louisville, KY), Anesthesia Service PLLC (Richmond, KY), Resource Anesthesia Cumberland Valley Inc (Corbin, KY), Prodigy Office Anesthesia, LLC (Corbin, KY) and 1 more organization, 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 Mark Banderman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Banderman accept?

Health plans from CareSource and Cigna Healthcare list Mark Banderman 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 Mark Banderman affiliated with any hospitals?

According to CMS data, Mark Banderman is affiliated with Baptist Health Richmond.

When was this NPI record last updated?

The NPPES record for Mark Banderman was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.