THERESA RAE BAUGHMAN CRNA
NPI 1992455174
Nurse Anesthetist, Certified Registered in Galena, KS
About Theresa Rae Baughman Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA RAE BAUGHMAN CRNA (NPI 1992455174) is an individual nurse anesthetist, certified registered in Galena, Kansas, licensed in Kansas (43-558014-102) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Specialty Hospital Southeast Kansas, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Theresa Rae Baughman 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.
Medicare Billing Reassignments
4Medicare enrollment records show Theresa Baughman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Joplin, MO 64804
- Reassigned Medicare billing, Kansas, Missouri and Oklahoma enrollments
- 37 clinicians in this Medicare group
Carthage, MO 64836
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1003201955 (Missouri)
- 133 clinicians in this Medicare group
Pittsburg, KS 66762
- Reassigned Medicare billing, Kansas enrollment
- 82 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 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 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Specialty Hospital Southeast Kansas
Acute Care Hospitals · Galena, KSIntegris Grove Hospital
Acute Care Hospitals · Grove, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66739 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GALENA, KS 66739
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 Theresa Baughman's NPI number?
The NPI number for Theresa Baughman is 1992455174. It was assigned to this individual provider in the NPPES registry on March 28, 2022.
Where is Theresa Baughman located?
Theresa Baughman practices at 444 Four States Dr Ste 1, Galena, KS 66739. The listed phone number is (417) 438-6984.
What is Theresa Baughman's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Theresa Baughman enrolled in Medicare?
Yes. Theresa Baughman 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 Theresa Baughman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Baughman reassigns Medicare benefits to 4 organizations: Four States Anesthesia Services LLC (Joplin, MO), Mercy Hospital Carthage (Carthage, MO), Mercy Clinic Pittsburg LLC (Pittsburg, KS) and Integris Ambulatory Care Corporation (Oklahoma City, OK). 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 Theresa Baughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Baughman accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Theresa Baughman 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 Theresa Baughman affiliated with any hospitals?
According to CMS data, Theresa Baughman is affiliated with Mercy Specialty Hospital Southeast Kansas and Integris Grove Hospital.
When was this NPI record last updated?
The NPPES record for Theresa Baughman was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Theresa Rae Baughman, CRNA · NPI 1992455174
Nurse Anesthetist, Certified Registered physician in Galena, Kansas. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1992455174 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 43-558014-102 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 444 FOUR STATES DR STE 1, Galena, KS 66739-4325
- **Phone:** (417) 438-6984
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Four States Anesthesia Services LLC (NPI 1053382929, Joplin, MO); Mercy Hospital Carthage (NPI 1992074959, Carthage, MO); Mercy Clinic Pittsburg LLC (NPI 1912751884, Pittsburg, KS); Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1992455174) · Data from the CMS NPPES public registry.