Individual provider Active NPI

William John Rolfes, CRNA

  • Certified Registered Nurse Anesthetist
  • Plano, TX
National Provider Identifier
1205108719
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
912991 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(214) 970-6817
NPI assigned
Jan 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024169815 VA
Certified Registered Nurse Anesthetist 367500000X 43-558274-062 KS
Certified Registered Nurse Anesthetist 367500000X 2024047434 MO
Certified Registered Nurse Anesthetist 367500000X 912991 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone (888) 339-8727

Other practice location 1

4901 College Blvd
Leawood, KS 66211-1602
Phone (913) 728-0386

Other practice location 2

3010 15th Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX, MT, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150203000376 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769628262
I20170217000480 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769628262 Reassigns benefits to 1 organization
I20240827001699 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769628262 Reassigns benefits to 1 organization
I20250711001757 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769628262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Uniformed Services Uhs Fe Hebert School of Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
43-558274-062KSMDCertified Registered Nurse Anesthetist
912991TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Missouri, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2025 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2021 Accepting new patients
Ascentist Physicians Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
CMSC, LLC CurrentSince Aug 2, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2021 Accepting new patients
Washington Hospital Center Corp Past Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

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

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1701 Ohio Dr
Plano, TX 75093
Phone (214) 291-3000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 6

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 1

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1205108719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "888-339-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "214-970-6817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111602",
            "country_code": "US",
            "telephone_number": "913-728-0386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 15th Ave S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055240",
            "country_code": "US",
            "telephone_number": "406-216-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLFES",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024169815",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-558274-062",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2024047434",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "912991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.