Active NPI
Misty Charlene Rebman, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP121384
- Practice address
- 6606 LBJ Fwy
Suite 200
Dallas, TX 75240 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Oct 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 707196 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP121384 | TX | Primary |
Addresses
Primary practice location
6606 LBJ Fwy
Suite 200
Dallas, TX 75240
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289219204 | Medicaid | TX | |
| 8322UG | Other | TX | BCBS |
| P01358129 | Other | TX | RR |
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
Hospital & facility affiliations
- Baylor Scott and White Surgical Hospital Fortworth
- Baylor Scott and White All Saints Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 707196 | TX | MD | Certified Registered Nurse Anesthetist |
| AP121384 | TX | MD | Certified Registered Nurse Anesthetist |
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 |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Sterling Pain Medicine, P.a. | Current | Accepting new patients | |
| Richard L. Vera MD, PA | Current | Accepting new patients | |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
1615 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 421-0279
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
4708 Alliance Blvd
Ste 850
Plano, TX 75093
Phone (469) 814-5960
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
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Grapevine, TX
- NPI 1932293602
-
- Pain Medicine (Anesthesiology) Physician
- Plano, TX
- NPI 1871827808
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Flower Mound, TX
- NPI 1114270931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Dallas, TX
- NPI 1962153940
-
- 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.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
- Special Hospital
- Fort Worth, TX
- NPI 1568883775
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871599183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1326324682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LBJ FWY",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "75240",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBMAN",
"first_name": "MISTY",
"middle_name": "CHARLENE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "707196",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP121384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "289219204",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8322UG",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR",
"identifier": "P01358129",
"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 Jun 30, 2020; 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.