Active NPI
Adam Nicholas Myers, CRNA
- Certified Registered Nurse Anesthetist
- Port Lavaca, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP1188082
- Practice address
- 815 N Virginia St
Port Lavaca, TX 77979-3025 - Phone
- (361) 552-0222
- Fax
- (361) 552-0220
- NPI assigned
- Jan 27, 2023
- Last updated
- Jul 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP1188082 | TX | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | AP61405206 | WA |
Addresses
Primary practice location
815 N Virginia St
Port Lavaca, TX 77979-3025
Mailing address
403 Willowbend Dr
Port Lavaca, TX 77979-2262
Phone (817) 879-3996
Other practice location 1
2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181
Other practice location 2
403 Willowbend Dr
Port Lavaca, TX 77979-2262
Phone (817) 879-3996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Medical Center
Practice addresses (Care Compare)
2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181
815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-6713
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1188082 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen's Medical Center County of Victoria | Current | Accepting new patients | |
| Providence Wa Anesthesia Services, P.C. | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180
2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Citizens Medical Professional
- Multi-Specialty Clinic/Center
- Victoria, TX
- NPI 1205242088
-
- Anesthesiology Physician
- Everett, WA
- NPI 1669615894
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
-
- Anesthesiology Physician
- Katy, TX
- NPI 1720628936
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Port Lavaca, TX
- NPI 1689630865
-
dba Detar Healthcare System
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1003522525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 WILLOWBEND DR",
"city": "PORT LAVACA",
"state": "TX",
"postal_code": "779792262",
"telephone_number": "817-879-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 N VIRGINIA ST",
"city": "PORT LAVACA",
"state": "TX",
"postal_code": "779793025",
"telephone_number": "361-552-0222",
"fax_number": "361-552-0220"
}
],
"practiceLocations": [
{
"address_1": "2701 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "TX",
"postal_code": "779015749",
"country_code": "US",
"telephone_number": "361-573-9181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 Willowbend Dr",
"address_purpose": "LOCATION",
"city": "Port Lavaca",
"state": "TX",
"postal_code": "779792262",
"country_code": "US",
"telephone_number": "817-879-3996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "ADAM",
"middle_name": "NICHOLAS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-27",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP1188082",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61405206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Lavaca, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.