Individual provider Active NPI

Justin Robert Anders, CRNA

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1023550605
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP132553 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-2111
NPI assigned
Nov 14, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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 AP132553 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

764 Marlandwood Rd
764 Marlandwood Rd
Temple, TX 76502-3634
Phone (325) 829-4263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161212001010 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779863659 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Anesthesia PLLCGroup PAC ID 9133566516, 2 clinicians

Practice addresses (Care Compare)

2217 S Danville Dr
Abilene, TX 79605-4719
Phone 32567564662

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Nov 15, 2016 Accepting new patients
Rose Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Amsurg Abilene Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 9, 2022 Accepting new patients
Scott & White Clinic CurrentSince Nov 15, 2016 Accepting new patients
Norman J Dozier MD PLLC CurrentSince Jan 1, 2023 Accepting new patients
Hendrick Anesthesia Network CurrentSince May 7, 2018 Accepting new patients
Abilene White Rock Surgery Center, LLC Past Accepting new patients
Amsurg Mdsine Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1249 Ambler Ave
Ste 100
Abilene, TX 79601
Phone (325) 677-2626

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

2217 S Danville Dr
Abilene, TX 79605
Phone (325) 695-0600

2401 N Treadaway Blvd
Abilene, TX 79601
Phone (325) 676-7700

3301 S 14th St
Ste 16180
Abilene, TX 79605

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

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

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1023550605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 MARLANDWOOD RD",
            "address_2": "764 MARLANDWOOD RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023634",
            "telephone_number": "325-829-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP132553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.