Individual provider Active NPI

Priscilla Ann Bardwell, CRNA

  • Certified Registered Nurse Anesthetist
  • McKinney, TX
National Provider Identifier
1376520635
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
551488 Issued in TX
Practice address
4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602
Phone
(469) 541-1600
Fax
(469) 541-1612
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 551488 TX Primary

Addresses

Primary practice location

4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602

Mailing address

906 W McDermott Dr # 116-371
Allen, TX 75013-6510
Phone (469) 541-1600

Other identifiers 5

IdentifierTypeStateIssuer
89869UOtherTXBCBS
897986OtherTXBCBS
172056706MedicaidTX
85013UOtherTXBCBS
172056702MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000067 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810943982 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Anesthesia AssociatesGroup PAC ID 2264477140, 94 clinicians
JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians
Anesthesia Partners of Dallas PLLCGroup PAC ID 7810293438, 21 clinicians

Practice addresses (Care Compare)

1105 Central Expy N
Suite 210
Allen, TX 75013-6102
Phone (972) 747-5840

11442 N Central Expy
Key Whitman Eye Center
Dallas, TX 75243-6602
Phone (214) 754-0000

8200 Walnut Hill LN
Dallas, TX 75231-4402
Phone (214) 345-6789

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
JW Eye Associates, PLLC CurrentSince Jan 30, 2023 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
JW Eye Associates, PLLC CurrentSince Jan 30, 2023 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Anesthesia Partners of Dallas PLLC CurrentSince May 1, 2022 Accepting new patients
Mesquite Professional Anesthesia, PA CurrentSince Apr 1, 2018 Accepting new patients
Presbyterian Hospital of Dallas Nurse Anesthetist, Certified Registered Past Accepting new patients
Apex Anesthesia Consultants, PLLC Past Accepting new patients
Sundance Anesthesia PA Past Accepting new patients
Professional Anesthesia Associates PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

981 State Highway 121
Ste 2100
Allen, TX 75013
Phone (214) 383-8210

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

9500 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 739-9544

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

3865 Childress Ave
Mesquite, TX 75150
Phone (972) 528-6090

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

7640 NE Loop 820
Ste 96
North Richlnd Hls, TX 76180
Phone (469) 713-3740

3500 Preston Rd
Ste 200
Plano, TX 75093
Phone (972) 985-2300

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1376520635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W MCDERMOTT DR # 116-371",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136510",
            "telephone_number": "469-541-1600",
            "fax_number": "469-541-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DR STE 211",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691602",
            "telephone_number": "469-541-1600",
            "fax_number": "469-541-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDWELL",
        "first_name": "PRISCILLA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "551488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89869U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "897986",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172056706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85013U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172056702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.