Individual provider Active NPI

Manda Beth Segarra, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1346756152
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
136202 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 648-6400
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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 136202 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

P.O. Box 845347
Dallas, TX 75284-5347
Phone (469) 291-3369

Other practice location 1

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180613000461 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991050064 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Skies Anesthesia PLLCGroup PAC ID 4082019617, 12 clinicians
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians
Arcadia Anesthesia PAGroup PAC ID 8325280829, 17 clinicians

Practice addresses (Care Compare)

5500 Frisco Square Blvd
Frisco, TX 75034-3305
Phone (214) 618-0500

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 648-6400

9301 N Central Expy
Suite 685
Dallas, TX 75231-0816
Phone (972) 572-6101

Hospital & facility affiliations

  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
  • Texas Institute for Surgery at Presbyterian Hospit Hospital, Dallas, TX, CCN 450889
  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136202TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 6, 2020 Accepting new patients
Orthomed Staffing LLC CurrentSince Mar 31, 2021 Accepting new patients
Arcadia Anesthesia PA CurrentSince Mar 1, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2020 Accepting new patients
Clear Skies Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Dec 8, 2022 Accepting new patients

Locations

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

7115 Greenville Ave
Ste 100
Dallas, TX 75231
Phone (214) 647-5300

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

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

9301 N Central Expy
Ste 685
Dallas, TX 75231
Phone (214) 265-9991

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

461 Westpark Way
Euless, TX 76040
Phone (817) 540-1755

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

416 S Henderson St
Ft Worth, TX 76104
Phone (682) 478-8123

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

6101 Windhaven Pkwy
Ste 195
Plano, TX 75093
Phone (214) 532-7629

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

2633 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (469) 562-1992

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

6160 Windhaven Pkwy
Ste 220
Plano, TX 75093
Phone (972) 212-7463

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

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

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

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 3

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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1346756152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "469-291-3369",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-648-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357709",
            "country_code": "US",
            "telephone_number": "214-590-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGARRA",
        "first_name": "MANDA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "136202",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 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.

Verify at the official NPI Registry.