Individual provider Active NPI

Miriam Ndenecho

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1093317679
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1052250 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-2111
Fax
(254) 724-7603
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D185741 IA
Registered Nurse 163W00000X R225189 MD
Certified Registered Nurse Anesthetist 367500000X 1052250 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

1001 Enclave Blvd Apt 506
Edwardsville, IL 62025-7462
Phone (618) 900-2692

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mndenecho1510153@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231009000310 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951756154 Reassigns benefits to 8 organizations
I20250501002729 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951756154 Reassigns benefits to 5 organizations
I20250731003331 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951756154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

3901 W 15TH St
Greater Houston Anesthesiology
Plano, TX 75075-7738
Phone (972) 519-1115

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R225189MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 27, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Feb 27, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Scott & White Clinic CurrentSince Mar 2, 2026 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Feb 27, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Aug 1, 2025 Accepting new patients
Lone Star Anesthesia Partners PLLC CurrentSince Jul 25, 2025 Accepting new patients
Lake Granbury Hospital-Based Professional Services Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2025 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
United Memorial Medical Center CurrentSince Feb 27, 2025 Accepting new patients
Cep America - Anesthesia PC Current Accepting new patients
Rochester General Hospital Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Feb 27, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Aug 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 1, 2024 Accepting new patients
Scott & White Clinic CurrentSince Mar 2, 2026 Accepting new patients
Noble Anesthesia Partners, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Rochester General Hospital CurrentSince Feb 27, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

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

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

1300 Murchison Dr
Ste 200
El Paso, TX 79902
Phone (915) 225-7600

125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

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

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

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

Interoperability endpoints

  • Direct secure messaging: mndenecho1510153@direct.sw.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 5

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1093317679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "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",
            "fax_number": "254-724-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Enclave Blvd Apt 506",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620257462",
            "country_code": "US",
            "telephone_number": "618-900-2692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDENECHO",
        "first_name": "MIRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D185741",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R225189",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1052250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mndenecho1510153@direct.sw.org",
            "affiliation": "N",
            "endpointDescription": "mndenecho1510153@direct.sw.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 28, 2026; 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.