Organization
EXCEL ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEXY DIMAGGIO CRNA (CREDENTIALING COORDINATOR)
(913) 721-3641
Entity
Organization
Contact information
Practice address
11261 NALL AVE STE 200, LEAWOOD, KS 66211-1696
(913) 671-3290
Mailing address
13851 W 63RD ST STE 433, SHAWNEE, KS 66216-3800
(913) 721-3641
(913) 721-3649
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10811031
BLUE CROSS BLUE SHIELD KANSAS CITY
MO
01
—
180055
BLUE CROSS BLUE SHIELD KANSAS
KS
05
—
200418810A
—
KS
05
—
502853203
—
MO
01
—
DF1966
RR MEDICARE
KS
01
—
DF4368
RR MEDICARE
MO
Enumeration date
08/25/2006
Last updated
01/14/2026
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