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

Nicholas R Vaughan, CRNA

Individual provider Registered Nurse · NPI 1487027728

Nicholas R Vaughan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Overland Park, Kansas. Qualified in 2015, 11 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
11
Licensed in
KS, MO
In the registry since
2015
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5721 W 119th St
Overland Park, KS 66209-3722
Phone: (913) 428-2900
Fax: (913) 428-2951
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 — (816) 691-2021

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 43-557385 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 114015 (KS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2022046624 (MO)

Record details

NPI number1487027728
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 9, 2015
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Overland Park