Central Kansas Medical Center
NPI 1790046019ActiveOrganization· Nurse Anesthetist, Certified Registered· Great Bend, KS
Nurse Anesthetist, Certified Registered in Great Bend, Kansas, registered in NPPES in June 2012, part of Central Kansas Medical Center DBA St. Rose Ambulatory & Surgery Center. The authorized official on file is Amanda Vaughan, Cfo.
Overview
| NPI | 1790046019 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Central Kansas Medical Center DBA St. Rose Ambulatory & Surgery Center |
| NPI issued | Jun 4, 2012 |
| Last updated in NPPES | Sep 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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