Active NPI
Michael Richard Mathews II, CRNA
- Certified Registered Nurse Anesthetist
- Seguin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP121459
- Practice address
- 1215 E Court St
Seguin, TX 78155-5129 - Phone
- (830) 379-5867
- Fax
- (830) 401-4035
- NPI assigned
- Apr 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP121459 | TX | Primary |
Addresses
Primary practice location
1215 E Court St
Seguin, TX 78155-5129
Mailing address
1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-5867
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 332798302 | Medicaid | TX | |
| P01746189 | Other | TX | RR MEDICARE |
| 8635UM | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-8478
1301 Wonder World Dr
Christus Santa Rosa San Marcos
San Marcos, TX 78666-7533
Phone (512) 753-3525
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Seguin PLLC | Current | Accepting new patients | |
| TL Billing and Practice Management LLC | Past | Accepting new patients |
Locations
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979
1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Seguin, TX
- NPI 1265458673
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Anesthesiology Physician
- Sugar Land, TX
- NPI 1760749303
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1205194537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 E COURT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555129",
"telephone_number": "830-379-5867",
"fax_number": "830-401-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E COURT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555129",
"telephone_number": "830-379-5867",
"fax_number": "830-401-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-24",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP121459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "332798302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01746189",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8635UM",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.