Individual provider Active NPI

Lucas Kane Anderson

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1467818211
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP129949 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(903) 293-5103
NPI assigned
Jan 10, 2016
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 AP129949 TX Primary
Registered Nurse 163W00000X 764416 TX

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917
Phone (903) 293-5103

Other practice location 1

2602 Saint Michael Dr Ste 301
Texarkana, TX 75503-5206
Phone (903) 614-5258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217002626 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123323854 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
Christus Health Ark-la-TexGroup PAC ID 2264325588, 39 clinicians
McOn Anesthesia PLLCGroup PAC ID 3173008059, 53 clinicians
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

1600 Wallace Blvd
Greater Houston Anesthesiology
Amarillo, TX 79106-1799
Phone (806) 477-8883

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (800) 411-7515

5404 Summerhill Rd
Texarkana, TX 75503-4607
Phone (903) 793-4872

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
764416TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2024 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Christus Health Ark-la-Tex Current Accepting new patients
Christus Health Ark-la-Tex CurrentSince Mar 20, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 5, 2023 Accepting new patients
Independent Physicians Network PLLC CurrentSince Mar 1, 2024 Accepting new patients
Christus Health Ark-la-Tex CurrentSince Mar 20, 2020 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince May 2, 2022 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2024 Accepting new patients
Patriot Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 5, 2023 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2019 Accepting new patients
Jason Hemmerich MD PA Past Accepting new patients
Independent Anesthesia of Texarkana, L.L.P PastSince Oct 11, 1996 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations (25 of 27)

1010 S Coulter St
Amarillo, TX 79106
Phone (806) 418-8870

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

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

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

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

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

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

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

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258

2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330

5404 Summerhill Rd
Texarkana, TX 75503
Phone (903) 792-3773

Organizations & group practices 16

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 16

Hospital & facility affiliations 3

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": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1467818211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "903-293-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "903-293-5103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Saint Michael Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755035206",
            "country_code": "US",
            "telephone_number": "903-614-5258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LUCAS",
        "middle_name": "KANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-10",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP129949",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "764416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.