Individual provider Active NPI

Mary Baskin, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1285740902
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
532629 Issued in TX
Practice address
13737 Noel Road
Suite 1400
Dallas, TX 75240-2004
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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 532629 TX Primary

Addresses

Primary practice location

13737 Noel Road
Suite 1400
Dallas, TX 75240-2004

Mailing address

PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5007

Other identifiers 7

IdentifierTypeStateIssuer
86685UOtherTXBCBS
P00387530OtherTXRAILROAD
00C82UOtherTXGROUP BCBSTX
182003701MedicaidTX
182003702MedicaidTX
8573UCOtherTXBCBSTX
182003703MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000225 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658378211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians

Practice addresses (Care Compare)

3500 Preston Rd
Suite 200
Plano, TX 75093-8644
Phone (972) 985-2300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Trident Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2016 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Mesquite Professional Anesthesia, PA CurrentSince May 1, 2021 Accepting new patients
Presbyterian Hospital of Dallas Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

981 State Highway 121
Ste 2100
Allen, TX 75013
Phone (214) 383-8210

800 W Arbrook Blvd
Ste 120
Arlington, TX 76015
Phone (817) 468-4343

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

9500 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 739-9544

3920 W Wheatland Rd
Ste 108
Dallas, TX 75237
Phone (214) 948-7779

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

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

2001 Cooper St
Ft Worth, TX 76104
Phone (817) 334-0990

701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

3865 Childress Ave
Mesquite, TX 75150
Phone (972) 528-6090

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

7640 NE Loop 820
Ste 96
North Richlnd Hls, TX 76180
Phone (469) 713-3740

3500 Preston Rd
Ste 200
Plano, TX 75093
Phone (972) 985-2300

7201 Wyoming Springs Dr
Ste 100
Round Rock, TX 78681
Phone (817) 727-0985

Organizations & group practices 6

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1285740902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650865",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650865",
            "telephone_number": "972-715-5007",
            "fax_number": "972-715-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 NOEL ROAD",
            "address_2": "SUITE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752402004",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKIN",
        "first_name": "MARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "532629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86685U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00387530",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBSTX",
            "identifier": "00C82U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182003701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182003702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8573UC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182003703",
            "state": "TX"
        }
    ],
    "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 May 21, 2014; 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.