Individual provider Active NPI

Caleb Allen Bennett

  • Certified Registered Nurse Anesthetist
  • Texarkana, TX
National Provider Identifier
1093304917
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1025609 Issued in TX
Practice address
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone
(469) 955-9423
NPI assigned
Jan 14, 2021
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 1025609 TX Primary

Addresses

Primary practice location

2600 Saint Michael Dr
Texarkana, TX 75503-2372

Mailing address

2600 Saint Michael Dr
Texarkana, TX 75503-2372

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331001235 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244647600 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Nov 18, 2023 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2024 Accepting new patients
Noble Anesthesia Partners, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients

Locations

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

2010 W Katherine P Raines Rd
Ste 100
Cleburne, TX 76033
Phone (817) 645-0811

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

9301 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 693-9331

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

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

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

6121 N State Highway 161
Ste 100
Irving, TX 75038
Phone (478) 330-5747

252 Matlock Rd
Fl 4
Mansfield, TX 76063
Phone (817) 242-3600

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1093304917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SAINT MICHAEL DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SAINT MICHAEL DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032372",
            "telephone_number": "469-955-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CALEB",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1025609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.