BLUE WATER ANESTHESIA, LLC
NPI 1932715737
Nurse Anesthetist, Certified Registered in Manhattan, KS

Active since September 17, 2020
1823 COLLEGE AVE, MANHATTAN, KS 66502(803) 238-6913 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blue Water Anesthesia, Llc NPPES

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

BLUE WATER ANESTHESIA, LLC (NPI 1932715737) is a healthcare organization registered as a nurse anesthetist, certified registered in Manhattan, Kansas and active in the NPI registry since September 2020. The organization maintains 2 additional practice locations and lists Holly Christina Stubbs, Owner, as its authorized official.

NPPES Registry Identity

NPI1932715737
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameBLUE WATER ANESTHESIA, LLC
Location Address1823 COLLEGE AVEManhattan, KS 66502-3381
Mailing Address1310 Westloop Pl Ste A, #339Manhattan, KS 66502 · (803) 238-6913
Organization SubpartNo
Authorized OfficialHolly Christina StubbsOwner · (803) 238-6913
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1932715737 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
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.
1823 COLLEGE AVE, Manhattan, KS 66502

Secondary Practice Locations 2

Location 11829 College AveManhattan, KS 66502-3381 · Phone (785) 776-5100
Location 2711 Genn DrWamego, KS 66547-1179 · Phone (803) 238-6913

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Water Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Water Anesthesia, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1194062471
4741 S COCHISE DR
Independence, MO 64055
(816) 478-1230
✔ PECOS✔ Accepts Medicare121 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blue Water Anesthesia, LLC's NPI number?

The NPI number for Blue Water Anesthesia, LLC is 1932715737. It was assigned to this organization in the NPPES registry on September 17, 2020.

Where is Blue Water Anesthesia, LLC located?

Blue Water Anesthesia, LLC is located at 1823 College Ave, Manhattan, KS 66502. The listed phone number is (803) 238-6913.

What is Blue Water Anesthesia, LLC's specialty?

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

Is Blue Water Anesthesia, LLC enrolled in Medicare?

Yes. Blue Water Anesthesia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Water Anesthesia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Blue Water Anesthesia, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blue Water Anesthesia, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Blue Water Anesthesia, LLC 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.

When was this NPI record last updated?

The NPPES record for Blue Water Anesthesia, LLC was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.