Summit Pain and Wellness, PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SUMMIT PAIN AND WELLNESS, PLLC

Practice address

501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302

Phone

(940) 766-8807

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Jacob Jordan, CRNA, APRN, NSPM-CNPI 1598002776

Title

Owner

Phone

(940) 867-7363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob I Jordan, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita Falls, TX
  • NPI 1598002776

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Caraleigh Nicole Buxie, MD

  • Surgery Physician
  • Rockwall, TX
  • NPI 1952577546
  Medicare reassignment Care Compare group NPD
• Kenda Marie Coley, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1386522548
  Medicare reassignment Care Compare group NPD
• Joshua Andrew Dunlap

  • Certified Registered Nurse Anesthetist
  • Weatherford, TX
  • NPI 1760980320

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Shynesta Reed, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1508350612
  Medicare reassignment Care Compare group
• James A Winters II, CRNA

  • Certified Registered Nurse Anesthetist
  • Albuquerque, NM
  • NPI 1154836781

  TX

  Medicare reassignment

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1144063124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PAIN AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-867-7363",
        "authorized_official_credential": "CRNA, APRN, NSPM-C"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Suarez
• Success on the Spectrum PPCC Inc
• Shonalatha Sudarshan, MD
• Sriram Sudarshan, MD
• Kenneth Sultemeier, M.D.
• Sanjoy Sundaresan, M.D.
• Janelle Sununtnasuk, DPT
• Susan Strate
• Beth H. Sutton
• Swan Health at Wichita Falls LLC

• Certified Registered Nurse Anesthetist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.