Individual provider Active NPI

Micah Walden, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1265037329
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1030001 Issued in TX
Practice address
6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Dec 4, 2020
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 1030001 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999

Other practice location 1

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210225003368 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022423938 Reassigns benefits to 5 organizations
I20250614000037 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022423938 Reassigns benefits to 1 organization
I20250716004059 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022423938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians
Northern Maine Medical CenterGroup PAC ID 8426952987, 41 clinicians
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Practice addresses (Care Compare)

105 -II Medical PLZ
Christus Trinity Clinic
Sulphur Springs, TX 75482-2105
Phone (903) 885-5439

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

1200 W Cherokee St
Wagoner, OK 74467-4624
Phone (918) 485-5514

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

2001 N Jefferson Ave
Mt Pleasant, TX 75455-2338
Phone (903) 577-6000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

719 W Coke Rd
Christus Trinity Clinic
Winnsboro, TX 75494-3011
Phone (903) 342-5227

800 E Dawson St
Tyler, TX 75701-2036

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Titus County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Ias Illinois PC CurrentSince Aug 1, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 25, 2022 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2023 Accepting new patients
Northern Maine Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Mother Frances Hospital-Winnsboro Current Accepting new patients
Mother Frances Hospital-Winnsboro CurrentSince Apr 25, 2022 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Apr 25, 2022 Accepting new patients
Titus County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 25, 2022 Accepting new patients
Northern Maine Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Mother Frances Hospital Winnsboro Past Accepting new patients

Locations

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

1200 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-1240

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

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

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

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

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

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

719 W Coke Rd
Ste 4
Winnsboro, TX 75494
Phone (903) 342-3760

Organizations & group practices 12

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 4

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1265037329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LBJ FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406524",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552338",
            "country_code": "US",
            "telephone_number": "903-577-6000",
            "fax_number": "903-577-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "MICAH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1030001",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.