Individual provider Active NPI

Susan Marie Kupper, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1144574377
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP123093 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Nov 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP123093 TX Primary
Certified Registered Nurse Anesthetist 367500000X 666067 TX

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 840853
Dallas, TX 75284-0865
Phone (972) 233-1999

Other identifiers 3

IdentifierTypeStateIssuer
316071502MedicaidTX
P01445717OtherTXRAILROAD
8330UGOtherTXBCBS

Other names 1

  • Susan Marie Adams Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130427000005 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587800172 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afterglow Anesthesia PLLCGroup PAC ID 8022543370, 64 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Steven M Gadol MD PAGroup PAC ID 6800910654, 4 clinicians

Practice addresses (Care Compare)

1545 E Southlake Blvd
Southlake, TX 76092-6422
Phone (817) 748-8784

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

399 W Campbell Rd
Suite 202
Richardson, TX 75080-3606
Phone (972) 498-4401

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 303-0104

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP123093TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward T Shin MD PA CurrentSince Jul 1, 2019 Accepting new patients
Orthomed Staffing LLC CurrentSince May 1, 2025 Accepting new patients
Steven M Gadol MD PA CurrentSince Jul 1, 2019 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2018 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2016 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients

Locations (25 of 38)

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

601 Clara Barton Blvd
Ste 350
Garland, TX 75042
Phone (972) 426-9900

1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

8080 State Highway 121
Ste 100
McKinney, TX 75070
Phone (214) 547-2700

6045 Alma Rd
Ste 100
McKinney, TX 75070
Phone (469) 854-8000

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

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 2

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": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1144574377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840865",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP123093",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "666067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316071502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01445717",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8330UG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ADAMS",
            "middle_name": "MARIE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.