Active NPI
Berenice Bisong
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP128805
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390 - Phone
- (214) 645-0355
- NPI assigned
- Aug 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP128805 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390
Mailing address
PO Box 840853
Dallas, TX 75284-5347
Phone (972) 233-1999
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 N Coit Rd
Suite 1103
McKinney, TX 75071-6659
Phone (469) 584-9905
5151 Harry Hines Blvd
Dallas, TX 75235-7707
Phone (214) 645-2353
5161 Harry Hines Blvd
Dallas, TX 75235-7707
5303 Harry Hines Blvd
Dallas, TX 75390-7208
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone (214) 645-8200
5323 Harry Hines Blvd
Dallas, TX 75390-9257
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (817) 987-3955
6202 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (469) 488-7000
Hospital & facility affiliations
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP128805 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Wichita Falls Anesthesia PLLC | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Prosper Ketamine & IV Nutrition Therapy LLC | Current | Accepting new patients | |
| Metropolitan Anesthesia Consultants, LLP | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
1400 N Coit Rd
Ste 1103
McKinney, TX 75071
Phone (469) 584-9905
4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- bbisong57758@unitedregional.medalliesdirect.net
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1902859697
-
- Pain Medicine (Anesthesiology) Physician
- McKinney, TX
- NPI 1174300693
-
- Anesthesiology Physician
- Wichita Falls, TX
- NPI 1639636210
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1114992161
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1366818312",
"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": "752845347",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"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": "75390",
"telephone_number": "214-645-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISONG",
"first_name": "BERENICE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP128805",
"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 1, 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.