Individual provider Active NPI

Curtis Nielsen, CRNA, DNP

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1164888087
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP129997 Issued in TX
Practice address
4200 S Hulen St
Suite 425
Fort Worth, TX 76109-4914
Phone
(817) 731-2875
NPI assigned
Jan 7, 2016
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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 AP129997 TX Primary

Addresses

Primary practice location

4200 S Hulen St
Suite 425
Fort Worth, TX 76109-4914

Mailing address

3410 Riverstone Cir E Apt 311
Fort Worth, TX 76116-0878
Phone (801) 710-5607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716000416 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870897861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NPH Anesthesia of Utah LLCGroup PAC ID 9537584313, 91 clinicians

Practice addresses (Care Compare)

5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NPH Anesthesia of Utah, LLC CurrentSince May 1, 2021 Accepting new patients
Mt Ogden Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
South Arlington Surgical Providers, LLC CurrentSince Jan 5, 2020 Accepting new patients
Apex Anesthesia Consultants, PLLC Past Accepting new patients

Locations

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

4364 Washington Blvd
South Ogden, UT 84403
Phone (801) 224-6767

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1164888087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 RIVERSTONE CIR E APT 311",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160878",
            "telephone_number": "801-710-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST",
            "address_2": "SUITE 425",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094914",
            "telephone_number": "817-731-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "CURTIS",
        "credential": "CRNA, DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP129997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.