Individual provider Active NPI

Nizy Ann Samuel, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1215390950
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP130154 Issued in TX
Practice address
1515 Holcombe Blvd
Houston, TX 77030-4009
Phone
(713) 792-6161
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 AP130154 TX Primary

Addresses

Primary practice location

1515 Holcombe Blvd
Houston, TX 77030-4009

Mailing address

P O Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991

Other identifiers 2

IdentifierTypeStateIssuer
358306402OtherTXMEDICAID CSHCN TPI
358306401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419002206 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173821493 Reassigns benefits to 4 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
Lonestar Anesthesia Solutions PLLCGroup PAC ID 8426567769, 46 clinicians
Lone Star Anesthesia Associates, PLLCGroup PAC ID 2860882529, 25 clinicians
Northwest Anesthesiology and Pain Services, P.a.Group PAC ID 9638067408, 95 clinicians

Practice addresses (Care Compare)

1705 Jackson St
Richmond, TX 77469-3246
Phone (281) 341-3000

3030 S Gessner Rd
Suite 150
Houston, TX 77063-3777
Phone (713) 587-0909

7010 Champions Plaza Dr
Suite 400
Houston, TX 77069-2395
Phone (832) 698-5320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
67.65

Merit-based Incentive Payment System (MIPS)

Final score
33.22 of 100Reported as group
Quality
21.89
Improvement activities
0
Cost
70.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Northwest Anesthesiology & Pain Services, P.a. CurrentSince Oct 15, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Lonestar Anesthesia Solutions PLLC CurrentSince May 5, 2025 Accepting new patients

Locations

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

3944 Ranch Road 620 S
Bldg 8
Bee Cave, TX 78738
Phone (512) 263-1113

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

5420 Dashwood Dr
Ste 103
Houston, TX 77081
Phone (713) 661-9550

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

6011 W Sam Houston Pkwy S
Houston, TX 77072
Phone (713) 383-9651

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

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

3725 E League City Pkwy
Ste 240
League City, TX 77573
Phone (281) 316-7111

22003 Southwest Fwy
Richmond, TX 77469
Phone (281) 341-2000

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

3115 College Park Dr
Ste 103C
The Woodlands, TX 77384
Phone (936) 271-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1215390950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 4439",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104439",
            "telephone_number": "713-792-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304009",
            "telephone_number": "713-792-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "NIZY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP130154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN TPI",
            "identifier": "358306402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358306401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.