Individual provider Active NPI

William Corona, CRNA

  • Certified Registered Nurse Anesthetist
  • Georgetown, TX
National Provider Identifier
1265701452
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
87905 Issued in TX
Practice address
909 Desaix Dr
Georgetown, TX 78628-2195
Phone
(512) 680-4652
NPI assigned
Dec 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 87905 TX Primary

Addresses

Primary practice location

909 Desaix Dr
Georgetown, TX 78628-2195

Mailing address

909 Desaix Dr
Georgetown, TX 78628-2195
Phone (512) 680-4652

Other identifiers 2

IdentifierTypeStateIssuer
651529OtherTXRN LICENSE NUMBER
87905OtherNBCRNA NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250618003154 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678084332 Reassigns benefits to 1 organization
I20250620002194 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678084332 Reassigns benefits to 1 organization
I20250715004335 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678084332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Practice addresses (Care Compare)

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

12141 Richmond Ave
Houston, TX 77082-2408
Phone (281) 558-3444

Hospital & facility affiliations

  • HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 9, 2025 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered Current Accepting new patients
Lake Granbury Hospital-Based Professional Services Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Manor Care of Salmon Creek Wa, Association CurrentSince Jun 9, 2025 Accepting new patients
Sapphire at Gresham Rehab, LLC CurrentSince Jun 9, 2025 Accepting new patients

Locations

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Fl 11
Portland, OR 97232

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 9

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 1

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1265701452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 DESAIX DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282195",
            "telephone_number": "512-680-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 DESAIX DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282195",
            "telephone_number": "512-680-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "87905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "651529",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCRNA NUMBER",
            "identifier": "87905",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.