Individual provider Active NPI

Gerardo Cisneros, CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1205292554
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
802769 Issued in TX
Practice address
1405 Louisiana St
El Paso, TX 79930-2919
Phone
(915) 329-7123
NPI assigned
Dec 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 802769 TX Primary

Addresses

Primary practice location

1405 Louisiana St
El Paso, TX 79930-2919

Mailing address

2725 Taylor Ave
El Paso, TX 79930-2504
Phone (915) 329-7123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001520 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274839402 Reassigns benefits to 4 organizations

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
Noble Anesthesia Partners PLLCGroup PAC ID 9234303165, 44 clinicians

Practice addresses (Care Compare)

1620 N Mesa St
El Paso, TX 79902-3550
Phone (855) 677-8669

3909 N Mesa St
Suite 100
El Paso, TX 79902-1534
Phone (915) 772-4551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
802769TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
Anesthesia Associates of El Paso PA CurrentSince May 23, 2016 Accepting new patients

Locations

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

1755 Curie Dr
Ste A
El Paso, TX 79902
Phone (915) 534-1329

3909 N Mesa St
Ste 100
El Paso, TX 79902
Phone (915) 532-2222

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

3909 N Mesa St
El Paso, TX 79902
Phone (915) 532-2222

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

1755 Curie Dr
El Paso, TX 79902
Phone (915) 225-7600

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

Interoperability endpoints

  • Direct secure messaging: gerardo.cisneros@direct.myhealthep.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1205292554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 TAYLOR AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302504",
            "telephone_number": "915-329-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LOUISIANA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302919",
            "telephone_number": "915-329-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "GERARDO",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "802769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.