Individual provider Active NPI

Dustin Yates

  • Certified Registered Nurse Anesthetist
  • Corpus Christi, TX
National Provider Identifier
1114975752
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
617818 Issued in TX
Practice address
2606 Hospital Blvd
Corpus Christi, TX 78405-1818
Phone
(757) 482-6732
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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 617818 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
Corpus Christi, TX 78405-1818

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

Other identifiers 1

IdentifierTypeStateIssuer
83583UOtherTXBCBSTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031119000887 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961306279 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Anesthesiology and Pain Services, P.a.Group PAC ID 9638067408, 95 clinicians

Practice addresses (Care Compare)

1006 Windsor Lakes Blvd
Suite 100 Legent Institute for Specialized
Conroe, TX 77384-4974
Phone (346) 980-1204

119 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (281) 419-1123

17200 St Luke'S Way
The Woodlands, TX 77384-8007
Phone (936) 266-9000

17400 St Lukes Way
St Luke Lakeside Hospital
The Woodlands, TX 77384-8036
Phone (936) 266-9000

3115 College Park Dr
The Woodlands, TX 77384-4001
Phone (936) 273-1133

7010 Champions Plaza Dr
Suite 300
Houston, TX 77069-2336

7010 Champions Plaza Dr
Suite 400
Houston, TX 77069-2395
Phone (832) 698-5320

9100 Forest Xing
Suite a
The Woodlands, TX 77381-1194
Phone (281) 296-0188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.22 of 100Reported as group
Quality
21.89
Improvement activities
0
Cost
70.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
617818TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Usm Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2019 Accepting new patients
Deerbrook Endo Sedation PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Northwest Anesthesiology & Pain Services, P.a. CurrentSince Sep 1, 2010 Accepting new patients
Best Choice Anesthesia & Pain PLLC CurrentSince Jun 11, 2013 Accepting new patients
Bayou Anesthesia and Pain P.a. CurrentSince Sep 1, 2010 Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Dreamworks Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Atlantis Pharmacy LLC Past Accepting new patients

Locations

1501 River Pointe Dr
Ste 260
Conroe, TX 77304
Phone (936) 494-3003

7010 Champions Plaza Dr
Houston, TX 77069
Phone (832) 698-5320

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

310 Kingwood Executive Dr
Ste A
Kingwood, TX 77339
Phone (832) 344-4008

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

9303 New Trails Dr
Ste 185
The Woodlands, TX 77381
Phone (281) 882-3601

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1114975752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051818",
            "telephone_number": "757-482-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "617818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "83583U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.