Mackenzie D Sullivan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP136337 Issued in TX

Practice address

801 N Bedell Ave
Del Rio, TX 78840-4112

Phone

(830) 778-3781

NPI assigned

Jan 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mackenzie D. Irvin Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Val Verde Hospital CorporationGroup PAC ID 0941112023, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154

Merit-based Incentive Payment System (MIPS)

Final score

88.47 of 100Reported as group

Quality

77.88

Promoting interoperability

99

Improvement activities

40

Cost

70.81

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Val Verde Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Del Rio, TX
  • NPI 1639239239

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• U. S. Anesthesia Partners of Texas, P.a.,

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548208564

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• University of Texas Health Science Center at San Antonio

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Flower Mound, TX
  • NPI 1114270931

  Nurse Anesthetist, Certified Registered

  NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Beaumont, TX
  • NPI 1548817471

  Nurse Anesthetist, Certified Registered

  NPD
• The University of Texas Health Science Center at San Antonio

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD
• U S Anesthesia Partners of Texas, PA

  • Interventional Pain Medicine Physician
  • Addison, TX
  • NPI 1053800391

  Nurse Anesthetist, Certified Registered

  NPD
• Val Verde Hospital Corporation

  • Rural Health Clinic/Center
  • Del Rio, TX
  • NPI 1093546590
  NPD

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

• Val Verde Hospital Corporation

  • General Acute Care Hospital
  • Del Rio, TX
  • NPI 1104830900
  Care Compare affiliation

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1023525532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1527",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788411527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112",
            "telephone_number": "830-778-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MACKENZIE",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP136337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380723201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "IRVIN",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stat Emergency Center of del Rio LLC
• Steadfast Healthcare
• Summer Marie Stokes, LVN
• Clarissa Rayann Stolte, LPC
• Paige Settles Strode, OTR
• Randall Lee Sunderland
• Sarah Cecilia Sunderland
• Superior Hospice of del Rio LLC
• Susan Jane Taylor, M.D.
• Thomas Max Taylor, D.M.D.

• Certified Registered Nurse Anesthetist in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.