Individual provider Active NPI

Caitlin O'Connor, CRNA

  • Certified Registered Nurse Anesthetist
  • Round Rock, TX
National Provider Identifier
1023407475
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
928132 Issued in TX
Practice address
300 University Blvd
Round Rock, TX 78665-1032
Phone
(512) 509-0100
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 928132 TX Primary

Addresses

Primary practice location

300 University Blvd
Round Rock, TX 78665-1032

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address coconnor432005@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009001883 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537484597 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1411 Medical Pkwy
Suite 100
Cedar Park, TX 78613-2498
Phone (512) 528-2000

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

2600 E Pflugerville Pkwy
Pflugerville, TX 78660-5999

305 Mallard LN
Taylor, TX 76574-1208
Phone (512) 352-7611

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Pflugerville Hospital, Pflugerville, TX, CCN 670128
  • Baylor Scott & White Medical Center -Taylor Hospital, Taylor, TX, CCN 451374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
928132TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Hospital - Taylor CurrentSince Mar 18, 2023 Accepting new patients
Scott & White Clinic Current Accepting new patients
Scott & White Clinic CurrentSince Sep 25, 2018 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince May 31, 2023 Accepting new patients
Scott & White Clinic CurrentSince Sep 25, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince May 31, 2023 Accepting new patients

Locations

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1411 Medical Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 528-2000

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

2600 E Pflugerville Pkwy
Ste 200
Pflugerville, TX 78660
Phone (512) 259-6000

300 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

305 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1023407475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "512-509-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "CAITLIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "928132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "coconnor432005@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.

Verify at the official NPI Registry.