Active NPI
Tracy Lynn Cannell
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 764457
- Practice address
- 3205 Chaparral LN
Fort Worth, TX 76109-2006 - Phone
- (817) 205-1063
- NPI assigned
- Dec 4, 2013
- Last updated
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 764457 | TX | Primary |
Addresses
Primary practice location
3205 Chaparral LN
Fort Worth, TX 76109-2006
Mailing address
3205 Chaparral LN
Fort Worth, TX 76109-2006
Phone (817) 205-1063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329693102 | Medicaid | TX | |
| 8004UH | Other | TX | BCBS TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Park Place Ave
Fort Worth, TX 76110-1302
Phone (682) 703-5600
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
800 W Randol Mill Rd
Greater Houston Anesthesiology
Arlington, TX 76012-2504
Phone (817) 960-6536
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Texas Anesthesia Partners, PLLC | Current | Accepting new patients | |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Southlake, TX
- NPI 1144673468
-
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
- NPI 1437758810
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Surgical Hospital at Fort Worth Outpatient Center
- Special Hospital
- Fort Worth, TX
- NPI 1568883775
-
dba Baylor Scott & White Surgical Hospital - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871599183
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1295166023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 CHAPARRAL LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761092006",
"telephone_number": "817-205-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 CHAPARRAL LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761092006",
"telephone_number": "817-205-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNELL",
"first_name": "TRACY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-04",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "764457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "329693102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "8004UH",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.