Individual provider Active NPI

Tracey Suzanne Ward, CRNA

  • Certified Registered Nurse Anesthetist
  • Texarkana, TX
National Provider Identifier
1245246479
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R56106 Issued in AR
Practice address
4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone
(903) 735-9802
Fax
(903) 735-9806
NPI assigned
Jul 31, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP116937 TX
Certified Registered Nurse Anesthetist 367500000X R56106 AR Primary

Addresses

Primary practice location

4100 Summerhill Rd
Texarkana, TX 75503-2732

Mailing address

4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone (903) 735-9802

Other practice location 1

2602 Saint Michael Dr Ste 301
Texarkana, TX 75503-5206
Phone (903) 614-5258

Other identifiers 2

IdentifierTypeStateIssuer
89233UOtherTXBLUE CROSS
5Y955OtherARBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090220000124 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325044399 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Christus Health Ark-la-TexGroup PAC ID 2264325588, 39 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1902 Moores LN
Suite B
Texarkana, TX 75503-4668
Phone (903) 792-2108

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R56106ARMDCertified Registered Nurse Anesthetist
AP116937TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Ark-la-Tex Current Accepting new patients
Christus Health Ark-la-Tex CurrentSince Dec 23, 2019 Accepting new patients
Orthomed Staffing LLC CurrentSince Jan 1, 2026 Accepting new patients
Christus Health Ark-la-Tex CurrentSince Dec 23, 2019 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Barbara Lazerus Crna Ms Past Accepting new patients
Midstate Medical Services PA PastSince Aug 7, 2012 Accepting new patients

Locations

330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

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

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

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

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

11212 State Highway 151
Ste 12
San Antonio, TX 78251

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1902 Moores Ln
Ste B
Texarkana, TX 75503
Phone (903) 792-2108

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258

2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330

5404 Summerhill Rd
Texarkana, TX 75503
Phone (903) 792-3773

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1245246479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032732",
            "telephone_number": "903-735-9802",
            "fax_number": "903-735-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032732",
            "telephone_number": "903-735-9802",
            "fax_number": "903-735-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Saint Michael Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755035206",
            "country_code": "US",
            "telephone_number": "903-614-5258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "TRACEY",
        "middle_name": "SUZANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP116937",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R56106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "89233U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5Y955",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.