Individual provider Active NPI

Kendra Brooks Stockman, CRNA

  • Certified Registered Nurse Anesthetist
  • Nacogdoches, TX
National Provider Identifier
1316097579
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
70572 Issued in TX
Practice address
3610 N University Dr
Nacogdoches, TX 75965-2539
Phone
(936) 254-4703
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 70572 TX Primary

Addresses

Primary practice location

3610 N University Dr
Nacogdoches, TX 75965-2539

Mailing address

4865 County Road 260
Nacogdoches, TX 75965-7016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000123 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951297134 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians

Practice addresses (Care Compare)

110 Shult Dr
Columbus, TX 78934-3016
Phone (979) 732-2371

Hospital & facility affiliations

  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
72.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70572TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2015 Accepting new patients
Genesis Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
The Center for Sight, PA Current Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2013 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince May 4, 2024 Accepting new patients
The Center for Sight, PA CurrentSince Feb 22, 2016 Accepting new patients
East Texas Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2 Medical Center Blvd
Lufkin, TX 75904
Phone (409) 634-8434

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

2400 N Stallings Dr
Ste 405
Nacogdoches, TX 75964

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

1402 Medical Dr
Sulphur Springs, TX 75482
Phone (903) 557-5661

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 7

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316097579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 COUNTY ROAD 260",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759657016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-254-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMAN",
        "first_name": "KENDRA",
        "middle_name": "BROOKS",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-11",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "70572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.