Individual provider Active NPI

Tina A Fell, CRNA

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
National Provider Identifier
1467445023
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
205 Issued in AK
Practice address
3101 20TH St
Lubbock, TX 79410-1407
Phone
(806) 789-6951
NPI assigned
Aug 29, 2005
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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 205 AK Primary

Addresses

Primary practice location

3101 20TH St
Lubbock, TX 79410-1407

Mailing address

3101 20TH St
Lubbock, TX 79410-1407
Phone (806) 789-6951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041110001313 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082677935 Reassigns benefits to 1 organization
I20140127000482 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082677935 Reassigns benefits to 3 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
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

4000 24TH St
Lubbock, TX 79410-1894
Phone (806) 725-0000

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205AKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Chugach Anesthesia, LLC CurrentSince Oct 21, 2016 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2014 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2013 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients
Texas Anesthesia Partners, PLLC Past Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 102
Anchorage, AK 99508
Phone (907) 382-0660

4100 Lake Otis Pkwy
Ste 209
Anchorage, AK 99508
Phone (907) 563-3169

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

4100 Lake Otis Pkwy
Ste 216
Anchorage, AK 99508
Phone (907) 563-2873

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

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

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

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

3610 24th St
Lubbock, TX 79410
Phone (806) 793-3141

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

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

Organizations & group practices 8

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1467445023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 20TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101407",
            "telephone_number": "806-789-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 20TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101407",
            "telephone_number": "806-789-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELL",
        "first_name": "TINA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.