Kelsi Marie Miller, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Stanton, TX
NPI 1467088096 · NPPES record last updated Mar 16, 2020
Key facts
- NPI
- 1467088096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP145505 (TX)
- Practice address
- 600 E. Interstate 20
Stanton, TX 79782 - Phone
- (432) 607-3200
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endo Sedation LLC
Practice addresses (Care Compare)
1600 Central Dr
Suite 300
Bedford, TX 76022-6029
Phone (817) 789-4575
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200922000898 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4587082615 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP145505 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin County Hospital District | Current |
Accepting new patients | |
| Global Anesthesia Services PLLC | Current |
Accepting new patients | |
| Texas Anesthesia Partners, PLLC | Current |
Accepting new patients | |
| Martin County Hospital District | Current |
Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102
1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235
7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
2106 N Midland Dr
Ste 100
Midland, TX 79707
Phone (432) 423-2272
7640 NE Loop 820
Ste 96
North Richlnd Hls, TX 76180
Phone (469) 713-3740
600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP145505 | TX | Yes |
Addresses
Primary practice location
600 E. Interstate 20
Stanton, TX 79782
Mailing address
3201 Chelsea PL
Midland, TX 79705-2324
Phone (903) 818-1421
Other names
- Kelsi Marie Burnett
Other providers in Stanton, TX
- Martin County Hospital District
- Martin County Hospital District
- Martin County Hospital District
- Nicole Maximowicz
- Larry Webb McWilliams
- Crystal Adalia Montoya
- Shawndra Dean Moore
- Welton Randolph Moore
- Susanna Elyse Mullinax
- Lark Michelle Olivas
All providers in Stanton, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.