Angelique Irene Carroll
NPI 1104273317ActiveIndividual· Nurse Anesthetist, Certified Registered· Independence, MO
Nurse Anesthetist, Certified Registered with Saint Lukes Physician Group Inc and 6 other groups, practicing in Independence, Missouri. Medicare paid $6,886 for services to 78 patients in 2024. Lists Adventhealth South Overland Park, Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1104273317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 17, 2016 |
| Last updated in NPPES | Sep 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 2016019530 | 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) (KS); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 79 across 34 procedure codes |
| Paid by Medicare | $6,886 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Saint Lukes Physician Group IncOverland Park, KS · 1,237 clinicians
- The Curators of the University of MissouriColumbia, MO · 1,131 clinicians
- Orthomed Staffing LLCPlano, TX · 416 clinicians
- Anesthesia Associates of Kansas City PAOverland Park, KS · 216 clinicians
- St Lukes East Anesthesia Services PCLees Summit, MO · 44 clinicians
- Ketamine and IV Therapy Clinic of Nwa LLCLowell, AR · 13 clinicians
- Outpatient Anesthesia Specialists LLCKansas City, MO · 11 clinicians
Hospital affiliations
- Adventhealth South Overland Park, IncOverland Park, KS
- Saint Luke's East HospitalLees Summit, MO
- University of Missouri Health CareColumbia, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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