Carlos Villanueva, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP116633 Issued in TX

Practice address

2200 Bergquist Dr Ste 1
Lackland a F B, TX 78236-9908

Phone

(210) 292-7956

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Val Verde Hospital CorporationGroup PAC ID 0941112023, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154

Merit-based Incentive Payment System (MIPS)

Final score

88.47 of 100Reported as group

Quality

77.88

Promoting interoperability

99

Improvement activities

40

Cost

70.81

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Val Verde Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Del Rio, TX
  • NPI 1639239239

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Val Verde Hospital Corporation

  • Rural Health Clinic/Center
  • Del Rio, TX
  • NPI 1093546590
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Val Verde Hospital Corporation

  • General Acute Care Hospital
  • Del Rio, TX
  • NPI 1104830900
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1295874352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 OTONO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233998",
            "telephone_number": "915-204-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR STE 1",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "CARLOS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "077977",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "643428",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP116633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Francois Trappey III, M.D.
• Derek Kurt Urban, MD
• US Army
• Bernadette Ann Vanness, IDMT
• Gary Vincent Vigil, DDS
• Michele Terese Vita, DPT, OCS
• Nancy Vogelgesang, PHARMD
• Brooke Mary Wallace, LCSW, BCD
• Stephen Glenn Waller, MD
• Claudine Wega

• Certified Registered Nurse Anesthetist in Lackland a F B, TX
• Providers in Lackland a F B, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.