Individual provider Active NPI

Sean Eric Acebedo, CRNA

  • Certified Registered Nurse Anesthetist
  • Mission, TX
National Provider Identifier
1417436015
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP140329 Issued in TX
Practice address
3008 N Glasscock Rd
Mission, TX 78574-2021
Phone
(956) 254-3356
NPI assigned
Aug 14, 2018
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP140329 TX Primary
Registered Nurse 163W00000X 766821 TX

Addresses

Primary practice location

3008 N Glasscock Rd
Mission, TX 78574-2021

Mailing address

1114 Escondido LN E Apt B
Harlingen, TX 78550-0058
Phone (956) 254-3356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190312001689 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274872163 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
766821TXMDRegistered Nurse
AP140329TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Current Accepting new patients
McAllen Anesthesia Consultants, PA Current Accepting new patients
McAllen Anesthesia Consultants, PA CurrentSince Jan 7, 2020 Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. CurrentSince Jun 9, 2024 Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. PastSince May 7, 2024 Accepting new patients

Locations

2820 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 342-0485

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1417436015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 ESCONDIDO LN E APT B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785500058",
            "telephone_number": "956-254-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 N GLASSCOCK RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742021",
            "telephone_number": "956-254-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEBEDO",
        "first_name": "SEAN",
        "middle_name": "ERIC",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140329",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "766821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.