BROOKE KADERLY
NPI 1780471813
Anesthesiologist Assistant in Springfield, MO

Q: What is Brooke Kaderly's NPI number?

The NPI number for Brooke Kaderly is 1780471813. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Q: What is Brooke Kaderly's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Kaderly was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 22, 2025Accepts Medicare Assignment

1000 E PRIMROSE ST STE 520, SPRINGFIELD, MO 65807(417) 269-4550 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Brooke Kaderly NPPES

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

BROOKE KADERLY (NPI 1780471813) is an individual anesthesiologist assistant in Springfield, Missouri and active in the NPI registry since April 2025. She is affiliated with Cox Medical Centers and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780471813

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameBROOKE KADERLY

Location Address1000 E PRIMROSE ST STE 520Springfield, MO 65807-7002

Mailing Address925 Bainbridge RdSmithville, MO 64089-8754 · (816) 724-9510

Phone(417) 269-4550

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1780471813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1000 E PRIMROSE ST STE 520, Springfield, MO 65807

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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

Brooke Kaderly 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 ID7517465024

PECOS Enrollment IDI20250813000458

Hospital Affiliations CMS Care Compare

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA CONNER GIBSON CAA

Anesthesiologist Assistant