Individual provider Active NPI

Cleopatra J Cliff, CRNA

  • Certified Registered Nurse Anesthetist
  • Round Rock, TX
National Provider Identifier
1346481892
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209007654 Issued in IL
Practice address
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone
(512) 244-4272
Fax
(512) 244-2895
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041321238 IL
Certified Registered Nurse Anesthetist 367500000X AP140350 TX
Certified Registered Nurse Anesthetist 367500000X 209007654041321238 IL
Certified Registered Nurse Anesthetist 367500000X 209007654 IL Primary

Addresses

Primary practice location

2000 S Mays St Ste 201
Round Rock, TX 78664-7580

Mailing address

PO Box 1278
Bedford Park, IL 60499-1278
Phone (217) 337-2000

Other practice location 1

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

Other practice location 2

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

Other names 1

  • Ms. Cleopatra J Deviner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201204001325 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749335222 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Republic Spine and Pain, PAGroup PAC ID 9335333863, 14 clinicians
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

13617 Caldwell Dr
Suite 100
Austin, TX 78750-2324
Phone (512) 219-8787

909 9TH Ave
Fort Worth, TX 76104-3903
Phone (817) 336-6060

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041321238ILMDRegistered Nurse
209007654ILMDCertified Registered Nurse Anesthetist
209007654041321238ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone, MD PA CurrentSince Dec 1, 2020 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2022 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2023 Accepting new patients
Mark Malone MD PA CurrentSince Dec 1, 2020 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2022 Accepting new patients
Independent Physicians Network PLLC CurrentSince May 1, 2023 Accepting new patients
Mark Malone MD PA Current Accepting new patients
Republic Spine and Pain, P.a. CurrentSince Oct 1, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 22, 2022 Accepting new patients
American Anesthesiology of Illinois, LLC Past Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations

9707 Anderson Mill Rd
Ste 230
Austin, TX 78750
Phone (512) 219-8787

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

6000 S Mopac Expy
Ste 100
Austin, TX 78749

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

13617 Caldwell Dr
Ste 100
Austin, TX 78750
Phone (512) 219-8787

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1623 Rivery Blvd
Georgetown, TX 78628
Phone (512) 219-8787

2220 Pease St
#C
Harlingen, TX 78550
Phone (956) 389-6000

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2000 S Mays St
Ste 400
Round Rock, TX 78664
Phone (512) 244-5993

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18125/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cleopatra.cliff.1@18125.direct.athenahealth.com

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.

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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1346481892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604991278",
            "telephone_number": "217-337-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Park St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012334",
            "country_code": "US",
            "telephone_number": "217-337-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Saint Elizabeth Blvd",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691099",
            "country_code": "US",
            "telephone_number": "618-234-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIFF",
        "first_name": "CLEOPATRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041321238",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140350",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209007654041321238",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209007654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLEOPATRA",
            "last_name": "DEVINER",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.