Kelly Lanell Bernard Igwe, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Bedford, TX

NPI 1073344784 · NPPES record last updated Aug 13, 2024

Key facts

NPI
1073344784
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
804338 (TX)
Practice address
1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone
(817) 840-4000
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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 1

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

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PA (2,750 clinicians)

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 848-4000

Hospital & facility affiliations

  • Texas Health Harris Methodist Hurst-Euless-Bedford Hospital · Bedford, TX · CCN 450639

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241114004822 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082148804 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
804338TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered Current
since Nov 4, 2024
Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered Current
since Nov 4, 2024
Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 804338 TX Yes

Addresses

Primary practice location

1600 Hospital Pkwy
Bedford, TX 76022-6913

Mailing address

117 St Meena CT Apt Suite
Fort Worth, TX 76120-1804
Phone (817) 829-1203

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2024.

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1073344784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ST MEENA CT APT SUITE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201804",
            "telephone_number": "817-829-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HOSPITAL PKWY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226913",
            "telephone_number": "817-840-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD IGWE",
        "first_name": "KELLY",
        "middle_name": "LANELL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "804338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

All providers in Bedford, TX · Certified Registered Nurse Anesthetist in Texas

Sources for this page

Verify at the official NPI Registry.