Individual provider Active NPI

Pamela A. Matlock, CRNA

  • Certified Registered Nurse Anesthetist
  • Irving, TX
National Provider Identifier
1407828346
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
526650 Issued in TX
Practice address
5605 N Macarthur Blvd
Ste. 220
Irving, TX 75038-2617
Phone
(972) 714-0007
Fax
(972) 714-0009
NPI assigned
Feb 5, 2006
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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 526650 TX Primary

Addresses

Primary practice location

5605 N Macarthur Blvd
Ste. 220
Irving, TX 75038-2617

Mailing address

5605 N Macarthur Blvd
Ste. 220
Irving, TX 75038-2617
Phone (972) 714-0007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512001388 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567452626 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

180 Bear Creek Pkwy
Keller, TX 76248-2500
Phone (817) 337-3671

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4832
Phone (713) 620-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
526650TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Team Texas, PA CurrentSince Jul 25, 2013 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2016 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2016 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Spine Team Texas, PA CurrentSince Jul 25, 2013 Accepting new patients
Spine Team Texas PA Current Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince May 30, 2008 Accepting new patients
Richard L. Vera MD, PA CurrentSince Jun 1, 2013 Accepting new patients
Cowtown Anesthesia Serivces, L.L.P. Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2011 Accepting new patients
Apex Anesthesia Consultants, PLLC Past Accepting new patients
Amarillo Anesthesia Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Sundance Anesthesia PA Past Accepting new patients
John Peter Smith Hospital Past Accepting new patients

Locations (25 of 26)

150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

918 N Davis Dr
Arlington, TX 76012
Phone (817) 540-0727

5410 West Loop S
Bellaire, TX 77401
Phone (713) 314-4444

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

6901 Snider Plz
Dallas, TX 75205
Phone (214) 361-2552

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

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

6317 Harris Pkwy
Ste 100
Fort Worth, TX 76132
Phone (817) 332-6500

6445 Harris Pkwy
Fort Worth, TX 76132
Phone (817) 423-2888

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

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

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

1615 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 421-0279

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

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

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

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

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

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": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1407828346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 N MACARTHUR BLVD",
            "address_2": "STE. 220",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382617",
            "telephone_number": "972-714-0007",
            "fax_number": "972-714-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 N MACARTHUR BLVD",
            "address_2": "STE. 220",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382617",
            "telephone_number": "972-714-0007",
            "fax_number": "972-714-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "PAMELA",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-05",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "526650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.