Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caitlin E Clark, CRNA

Individual provider Registered Nurse · NPI 1093285017

Caitlin E Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shawnee Mission, Kansas. Qualified in 2018, 8 years ago. Practices with Northstar Anesthesia of Kansas LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
8
Licensed in
KS
In the registry since
2018
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 632-2230
Fax: (913) 632-2297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 557656 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 119760 (KS)

Record details

NPI number1093285017
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 3, 2018
Last updated in NPPESJanuary 25, 2019
Mailing addressPo Box 411895, Kansas City, MO 64141-1895

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northstar Anesthesia Of Kansas Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shawnee Mission