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

Kelli Elise Heacock, CRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962267211

Kelli Elise Heacock, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shawnee Mission, Kansas. Qualified in 2025, 1 year ago. Practices with Midwest Anesthesia Associates, PA, a 95-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Licensed in
KS
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 632-2230
Fax: (913) 632-2297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Holmes St, Kansas City, MO 64108-2640 — (816) 404-1127

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 558290 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962267211
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 15, 2024
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Midwest Anesthesia Associates, Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawnee Mission