Active NPI
Kevin James Culpepper, CRNA
- Certified Registered Nurse Anesthetist
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1063129
- Practice address
- 100 Hillcrest Medical Blvd
Waco, TX 76712-8897 - Phone
- (254) 202-2000
- NPI assigned
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 136209 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 233073 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | 1063129 | TX | Primary |
Addresses
Primary practice location
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Other practice location 1
1500 S Main St
Fort Worth, TX 76104-4941
Phone (817) 702-3431
Other practice location 2
35 Miles St
Damariscotta, ME 04543-4047
Phone (207) 563-4837
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kculpepper1359536@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ME
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
35 Mile St
Damariscotta, ME 04543-4047
Phone (207) 563-1234
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466
Hospital & facility affiliations
- St David'S Medical Center
- Hendrick Medical Center
- Baylor Scott and White All Saints Medical Center
- Baylor Scott & White Heart & Vascular Hospital - Dallas
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233073 | ME | MD | Certified Registered Nurse Anesthetist |
| 1063129 | TX | MD | Certified Registered Nurse Anesthetist |
| 136209 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Austin Anesthesiology Group PLLC | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Scott & White Clinic | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations (25 of 29)
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6399 Directors Pkwy
Ste 100
Abilene, TX 79606
Phone (325) 794-5450
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Organizations & group practices 15
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.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Nurse Anesthetist, Certified Registered
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Damariscotta, ME
- NPI 1912094806
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1124787494",
"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": "100 HILLCREST MEDICAL BLVD",
"city": "WACO",
"state": "TX",
"postal_code": "767128897",
"telephone_number": "254-202-2000"
}
],
"practiceLocations": [
{
"address_1": "1500 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044941",
"country_code": "US",
"telephone_number": "817-702-3431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Miles St",
"address_purpose": "LOCATION",
"city": "Damariscotta",
"state": "ME",
"postal_code": "045434047",
"country_code": "US",
"telephone_number": "207-563-4837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULPEPPER",
"first_name": "KEVIN",
"middle_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-14",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "136209",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "233073",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1063129",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kculpepper1359536@direct.sw.org",
"affiliation": "N",
"address_1": "100 Hillcrest Medical Blvd",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128897",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.