Individual provider Active NPI

Diane L Wolff, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1225281983
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
759567 Issued in TX
Practice address
801 7TH Ave
Fort Worth, TX 76104-2733
Phone
(682) 885-4054
Fax
(682) 885-7497
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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 759567 TX Primary

Addresses

Primary practice location

801 7TH Ave
Fort Worth, TX 76104-2733

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwolff32637@CookChildrens.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000688 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759447022 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Childrens Physician NetworkGroup PAC ID 7719884584, 307 clinicians

Practice addresses (Care Compare)

801 7TH Ave
Ft Worth, TX 76104-2733
Phone (817) 870-7946

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
759567TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Interventional Pain Management, P.L.L.C CurrentSince May 28, 2017 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Aug 7, 2017 Accepting new patients
Lewis 360 Medical Solutions PLLC CurrentSince Jan 1, 2015 Accepting new patients
Cook Children'S Physician Network CurrentSince Jan 22, 2018 Accepting new patients
Cook Children'S Physician Network CurrentSince Jan 22, 2018 Accepting new patients
Eagle Anesthesia PLLC CurrentSince Aug 7, 2017 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince May 28, 2017 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

17980 Dallas Pkwy
Ste 100
Dallas, TX 75287
Phone (817) 556-8387

9032 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 231-2273

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1001 12th Ave
Ste 170
Ft Worth, TX 76104
Phone (817) 810-0500

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

4243 E Southcross Blvd
San Antonio, TX 78222
Phone (210) 337-7848

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

Interoperability endpoints

  • Direct secure messaging: dwolff32637@cookchildrens.direct-ci.com

Organizations & group practices 8

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1225281983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 7TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042733",
            "telephone_number": "682-885-4054",
            "fax_number": "682-885-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "DIANE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "759567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwolff32637@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "801 7th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 20, 2021; 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.