Cullen Ralphs
NPI 1083390553ActiveIndividual· Nurse Anesthetist, Certified Registered· Columbia, MO
Nurse Anesthetist, Certified Registered with Mid-America Anesthesia Consultants PC, practicing in Columbia, Missouri. Medicare paid $48,328 for services to 211 patients in 2024. Merck Sharp & Dohme LLC was the largest of 2 companies reporting payments in 2025, $59.57 in all, mostly food and beverage. Lists Boone Hospital Center as a hospital affiliation.
Overview
| NPI | 1083390553 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 27, 2023 |
| Last updated in NPPES | Jun 27, 2023 |
| Certified by provider | Jun 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 2023024720 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 211 |
|---|---|
| Services billed | 250 across 59 procedure codes |
| Paid by Medicare | $48,328 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Mid-America Anesthesia Consultants PCColumbia, MO · 50 clinicians
Hospital affiliation
- Boone Hospital CenterColumbia, MO
Industry payments (Open Payments)
- 2025$59.57 · 3 payments from 2 companies
- 2024$84.49 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $42.04 | 2 |
| Chiesi USA, Inc. | $17.53 | 1 |
What the 2025 payments were for
- Food and Beverage$59.57 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 189 nurse anesthetists in Columbia · All nurse anesthetists in Missouri