Individual provider Active NPI

Amanda L Nelson, CRNA

  • Certified Registered Nurse Anesthetist
  • Arlington, TX
National Provider Identifier
1265703151
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704373720 Issued in MI
Practice address
4400 New York Ave
Arlington, TX 76018-4817
Phone
(817) 852-8500
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 747301 TX
Certified Registered Nurse Anesthetist 367500000X 4704373720 MI Primary

Addresses

Primary practice location

4400 New York Ave
Arlington, TX 76018-4817

Mailing address

1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896
Phone (954) 838-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120328000547 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345400388 Reassigns benefits to 6 organizations
I20200918002484 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345400388 Reassigns benefits to 1 organization

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
Sound Physicians Anesthesiology of Texas PLLCGroup PAC ID 1254751407, 134 clinicians
Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1401 St Joseph Pkwy
Houston, TX 77002-8301
Phone (713) 757-1000

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039
  • Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880
  • Campbell County Health Hospital, Gillette, WY, CCN 530002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District Current Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 6, 2020 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Ad of Texas PLLC CurrentSince Jun 21, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 15, 2025 Accepting new patients
Campbell County Hospital District CurrentSince Aug 24, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 15, 2025 Accepting new patients
Anesthesia Associates of El Paso PA CurrentSince Apr 27, 2020 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2024 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Jul 6, 2020 Accepting new patients
Campbell County Hospital District CurrentSince Aug 24, 2020 Accepting new patients
Campbell County Hospital District Current Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

4400 New York Ave
Arlington, TX 76018
Phone (817) 702-8500

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

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

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

135 Bunton Creek Rd
Ste 201
Kyle, TX 78640
Phone (512) 314-5438

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

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

6800 Scenic Dr
Ste 1071
Rowlett, TX 75088
Phone (972) 520-8000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1265703151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NEW YORK AVE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760184817",
            "telephone_number": "817-852-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "747301",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704373720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.