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BROOKE KADERLY
NPI 1780471813
Anesthesiologist Assistant in Springfield, MO

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Brooke Kaderly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ozark Anesthesia Associates, Inc.
Same address
Anesthesiology
1000 E PRIMROSE ST STE 520
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 105 clinicians in this Medicare group
NPI 1831109586 (417) 269-4550

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, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney 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
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
CORRINE CALZONE C-AA
Anesthesiologist Assistant
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
LUKE R BEUTERBAUGH CRNA
Nurse Anesthetist, Certified Registered
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
WILLIAM WYNN III
Nurse Anesthetist, Certified Registered
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
MARK S. MIKESCH CRNA
Nurse Anesthetist, Certified Registered
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
AUSTIN TYLER SHILT
Anesthesiologist Assistant
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
HENRY JOE MORRIS
Nurse Anesthetist, Certified Registered
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
MR. COLIN GREGORY WARNOCK AA-C
Anesthesiologist Assistant
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807
Greene County (816) 204-0018

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 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.

Where is Brooke Kaderly located?

Brooke Kaderly practices at 1000 E Primrose St Ste 520, Springfield, MO 65807. The listed phone number is (417) 269-4550.

What is Brooke Kaderly's specialty?

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

Is Brooke Kaderly enrolled in Medicare?

Yes. Brooke Kaderly 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 organization bills Medicare for Brooke Kaderly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Kaderly reassigns Medicare benefits to Ozark Anesthesia Associates, Inc. (Springfield, MO). The 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 Brooke Kaderly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brooke Kaderly affiliated with any hospitals?

According to CMS data, Brooke Kaderly is affiliated with Cox Medical Centers and Cox Medical Center Branson.

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 18 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.