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
Hospital & facility affiliations 1
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
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114004822 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4082148804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 804338 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Belle Isle Healthcare LLC
- Zurisadai Benitez
- Benjamin Crabb MD PLLC
- Barry Benjamin
- Liza Bergara
- Bernard L. Rousch, MD
- Melvyn Louis Bernstein
- Cynthia Geralyn Berry
- Krishnaveni Bethi
- Beyond Therapy and Wellness PLLC
All providers in Bedford, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.