CMS-1500 Box 24J / 33a • NPI
1215202197
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
8717 W 110TH ST STE 600, OVERLAND PARK, KS, 66210-2126
✓ 9-Digit EDI 837 ZIP+4 (66210-2126)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215202197 (STEPHEN ANDREW CARPENTER, CRNA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215202197 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | STEPHEN ANDREW CARPENTER, CRNA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 8717 W 110TH ST STE 600, OVERLAND PARK, KS, 66210-2126 |
| Practice Telephone / Fax | Tel: (913) 428-2900 |
| Administrative Mailing Address | PO BOX 30180, SALT LAKE CITY, UT, 84130-0180 |
| Enumeration & Last Sync | Enumerated: 2012-03-12 | CMS Record Updated: 2026-04-21 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (STEPHEN ANDREW CARPENTER, CRNA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: KS | License: TMP144722 | Primary: Yes (Primary) |
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: UT | License: 353847-4406 | Primary: Secondary |
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: FL | License: RN 9288567 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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