Active NPI
Susan Marie Kupper, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP123093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316071502 | Medicaid | TX | |
| P01445717 | Other | TX | RAILROAD |
| 8330UG | Other | TX | BCBS |
Other names 1
- Susan Marie Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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
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
- Texas Health Harris Methodist Hospital Southlake
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP123093 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward T Shin MD PA | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Steven M Gadol MD PA | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
- Gastroenterology Physician
- Richardson, TX
- NPI 1528248523
-
- Anesthesiology Physician
- Mesquite, TX
- NPI 1558180083
-
- Interventional Pain Medicine Physician
- Plano, TX
- NPI 1245385566
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- McAllen, TX
- NPI 1346570355
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Southlake, TX
- NPI 1144673468
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- General Acute Care Hospital
- Southlake, TX
- NPI 1629064928
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.