NPIMap

Individual provider Active NPI

Michael T. Andrepont-Aycock, CRNA, PMHNP-C

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1033117882
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
680898 Issued in TX
Practice address
5201 Harry Hines Blvd
Dept. of Anesthesiology
Dallas, TX 75235-7708
Phone
(214) 590-8329
NPI assigned
Jul 13, 2005
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1200576 TX
Certified Registered Nurse Anesthetist 367500000X 680898 TX Primary

Addresses

Primary practice location

5201 Harry Hines Blvd
Dept. of Anesthesiology
Dallas, TX 75235-7708

Mailing address

PO Box 660599
Dallas, TX 75266-0599
Phone (214) 590-4105

Other practice location 1

3818 Cedar Springs Rd Ste 103
Dallas, TX 75219-4167
Phone (214) 205-1145

Other practice location 2

411 N Washington Ave Ste 5200
Dallas, TX 75246-1778
Phone (855) 204-2502

Other identifiers 1

IdentifierTypeStateIssuer
150712101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928001258 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608845482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1200576TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Dallas County Hospital District CurrentSince Jan 2, 2002 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Dallas County Hospital District Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2002 Accepting new patients
Dallas County Hospital District Psychiatric/Mental Health Current Accepting new patients
Kotel Atx PLLC Past Accepting new patients

Locations

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5201 Harry Hines Blvd
Bldg B
Dallas, TX 75235
Phone (214) 590-1396

9500 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 739-9544

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

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

3500 Preston Rd
Ste 200
Plano, TX 75093
Phone (972) 985-2300

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.

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1033117882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599",
            "telephone_number": "214-590-4105",
            "fax_number": "214-590-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "address_2": "DEPT. OF ANESTHESIOLOGY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-8329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3818 Cedar Springs Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752194167",
            "country_code": "US",
            "telephone_number": "214-205-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 N Washington Ave Ste 5200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752461778",
            "country_code": "US",
            "telephone_number": "855-204-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREPONT-AYCOCK",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "credential": "CRNA, PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1200576",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "680898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150712101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.