Individual provider Active NPI

Dusty Hatch

  • Certified Registered Nurse Anesthetist
  • Weatherford, TX
National Provider Identifier
1134593791
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
N-43503 Issued in ID
Practice address
713 E Anderson St
Weatherford, TX 76086-5705
Phone
(817) 341-2273
NPI assigned
Nov 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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 N-43503 ID Primary

Addresses

Primary practice location

713 E Anderson St
Weatherford, TX 76086-5705

Mailing address

PO Box 163694
Fort Worth, TX 76161-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160426000443 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476852476 Reassigns benefits to 1 organization
I20231110001656 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476852476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Midwestern University College of Dental Medicine, Downers Grove, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Arizona Endoscopy LLCGroup PAC ID 1456357128, 2 clinicians

Practice addresses (Care Compare)

2158 N Gilbert Rd
Suite 103
Mesa, AZ 85203-2109
Phone (480) 751-3002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N-43503IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Anesthesia Consultants, PA CurrentSince Aug 6, 2018 Accepting new patients
Central Arizona Endoscopy LLC Current Accepting new patients
McAllen Anesthesia Consultants, PA Current Accepting new patients
Renaissance Medical Foundation Current Accepting new patients
Central Arizona Endoscopy, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2023 Accepting new patients

Locations

2158 N Gilbert Rd
Ste 103
Mesa, AZ 85203
Phone (480) 751-3002

File 50693
Los Angeles, CA 90074

2500 York Rd
Ste 300
Jamison, PA 18929
Phone (215) 589-9001

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5415 S McColl Rd
Edinburg, TX 78539
Phone (956) 661-0529

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1134593791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163694",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761613694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E ANDERSON ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865705",
            "telephone_number": "817-341-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "DUSTY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N-43503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.