MS. KELLY R GORDON RN ARNP CRNA NPI 1063495711

NPI Information

  • NPI: 1063495711
  • Provider Name: MS. KELLY R GORDON, RN ARNP CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 1318 E. 104TH ST.
    KANSAS CITY, MO
    ZIP 64131
  • Phone: (816) 256-5180

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NPI Details

MS. Kelly R Gordon, RN ARNP CRNA is a nurse anesthetist certified registered in Kansas City, MO with 25 years of experience. The provider is (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. MS. Kelly R Gordon, RN ARNP CRNA NPI is 1063495711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1318 E. 104TH ST.
KANSAS CITY, MO
ZIP 64131
Phone: (816) 256-5180

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for lens surgery (HCPCS:00142)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)

The enumeration date for this NPI number is 11/28/2005 and was last updated on 8/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified Registered115622MISSOURINo
2367500000XNurse Anesthetist, Certified Registered54723KANSASYes
3163W00000XRegistered Nurse1358880051KANSASNo
4163W00000XRegistered Nurse115622MISSOURINo
5363L00000XNurse Practitioner54723KANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100403160DMEDICAIDKANSAS
2145353OTHERKANSASBLUE CROSS BLUE SHIELD KS
366048A019OTHERKANSASTRICARE WPS
400S23683OTHERKANSASPREFERRED HEALTH SYSTEMS
5915400618MEDICAIDMISSOURI
6P00401683OTHERKANSASRAILROAD MEDICARE
7100016620001OTHERCOMMUNITY HEALTH PLAN
828034048OTHERMISSOURIBLUE CROSS BLUE SHIELD KC
95718942OTHERFIRST HEALTH
10P00365458OTHERMISSOURIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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