Madeline J Retzlaff, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

770598 Issued in TX

Practice address

1635 North Loop West
Houston, TX 77008-1593

Phone

(713) 400-2990

Fax

(713) 400-2993

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Madeline O'Donnell Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians

Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Austin Medical Center Hospital, Austin, TX, CCN 450809

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 28)

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.

• Austin Anesthesiology Group, PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1598724304

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Independent Physicians Network PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1396274676
  Medicare reassignment Care Compare group NPD
• Austin Gastroenterology Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1427405810

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mark Malone MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Round Rock, TX
  • NPI 1407057250
  Medicare reassignment NPD
• Texans Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Webster, TX
  • NPI 1275733982

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• U. S. Anesthesia Partners of Texas, P.a.,

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548208564

  Nurse Practitioner

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Austin Anesthesiology Group PLLC

  • Anesthesiology Physician
  • Bryan, TX
  • NPI 1528326154
  NPD
• Mark Malone MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Waco, TX
  • NPI 1710522859
  NPD
• Mark Malone, MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Killeen, TX
  • NPI 1982581427
  NPD
• U S Anesthesia Partners of Texas, PA

  • Interventional Pain Medicine Physician
  • Addison, TX
  • NPI 1053800391

  Nurse Practitioner

  NPD
• Pediatric Dentistry of Keller PLLC

  • Pediatric Dentistry
  • Keller, TX
  • NPI 1750934253
  NPD (past)

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

• St Davids Healthcare Partnership LP LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1629021845
  Care Compare affiliation

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1346653938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 22926",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392252926",
            "telephone_number": "713-400-2990",
            "fax_number": "713-400-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH LOOP WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081593",
            "telephone_number": "713-400-2990",
            "fax_number": "713-400-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZLAFF",
        "first_name": "MADELINE",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "CRNA102349",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP125812",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "770598",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "RN770598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "O'DONNELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rajesh Rethnam, MD., FCCP.
• Reto International Inc
• Retrospective Wellness LLC
• Retrospective Wellness LLC
• Breanna Retter
• Jeffrey David Reuben, M.D.
• Ross M Reul, M.D.
• Jayme Lynn Reuter, CRNA
• Tyson Reuter, PH.D.
• January M Revada, LPC

• Certified Registered Nurse Anesthetist in Houston, TX
• Providers in Houston, 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 Oct 3, 2018; 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.