Kelly R. Gordon, RN ARNP CRNA
Certified Registered Nurse Anesthetist · Kansas City, MO
Kelly R. Gordon, RN ARNP CRNA is a certified registered nurse anesthetist with a practice address in Kansas City, Missouri, and NPI 1063495711, issued on Nov 28, 2005. Check the license (Missouri 115622, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly R. Gordon
- Credential
- RN ARNP CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 115622 MO
54723 KS
1358880051 KS
Self-reported in NPPES; status is on the state search - Practice location
- 1318 E 104TH St, Kansas City, MO 64131
- Phone
- (816) 256-5200
- Enumerated
- Nov 28, 2005
- Record last updated
- May 1, 2025
- Medicaid IDs
- 915400618 MO
100403160D KS - Medicare enrollment
- Enrolled (PECOS I20040302001164); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 2,069 in Missouri → Look up another NPI →
Also registered at 1318 E 104TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brian Balanoff, MDAnesthesiology Physician1841284114
- Ami Keltner, CRNACertified Registered Nurse Anesthetist1811332588
- Cameron Tusken, M.D.Anesthesiology Physician1376962738
- Bradley Wilber, RN, BSN,MS, CRNACertified Registered Nurse Anesthetist1427387745
Verify Kelly R. Gordon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 115622Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $26.24
1 payment: food and beverage; the largest payer was Medtronic, Inc. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 4 group practices
- Anesthesia Associates OF Kansas City PAIndependence, MO
- Derrick D. Jones P CSt Thomas, VI
- Dynamos Anesthesia Services LLCLeavenworth, KS
- Kansas University Physicians IncKansas City, KS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly R. Gordon among 2,069 certified registered nurse anesthetist records in Missouri
Kelly R. Gordon, RN ARNP CRNA is one of 2,069 certified registered nurse anesthetist records with a practice address in Missouri. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 93% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2000 · median 2013 among the 1,508 with a school on file
- Record last updated2025 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
202 certified registered nurse anesthetist records list a practice address in Kansas City
They are 202 of the 13,759 NPPES records with a practice address in Kansas City, and 2,069 certified registered nurse anesthetist records in Missouri.
All 2,069 in Missouri → Every provider in Kansas City → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Ami Keltner, CRNAKansas City, MO 641311811332588
- Bradley Wilber, RN, BSN,MS, CRNAKansas City, MO 641311427387745
- Mary Cousins, CRNAKansas City, MO 641321184609430
- Gloria DimaggioKansas City, MO 641321346225950
- Kristine Goswick, CRNAKansas City, MO 641321730164195
- Janis Harness, CRNAKansas City, MO 641321255316402
- Glen Heimann, CRNAKansas City, MO 641321396721031
- Stephanie Miller, CRNAKansas City, MO 641321417933169
Common questions
What is Kelly R. Gordon, RN ARNP CRNA's NPI number?
Kelly R. Gordon, RN ARNP CRNA's National Provider Identifier (NPI) is 1063495711, issued on Nov 28, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kelly R. Gordon, RN ARNP CRNA located?
The NPPES record lists a practice address at 1318 E 104TH St, Kansas City, MO, 64131. Phone: (816) 256-5200. Providers update this record themselves, so call before visiting.
How can I verify Kelly R. Gordon, RN ARNP CRNA's license?
NPPES lists Missouri license number 115622, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.