Four States Anesthesia Services LLC
NPI 1053382929ActiveOrganization· Nurse Anesthetist, Certified Registered· Joplin, MO
Nurse Anesthetist, Certified Registered in Joplin, Missouri, registered in NPPES in January 2006. The authorized official on file is Terri Susann Tracy, CRNA, Member. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053382929 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2006 |
| Last updated in NPPES | May 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (OK) |
|---|
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