Individual provider Active NPI

Clinton Thomas Werner, CRNA

  • Certified Registered Nurse Anesthetist
  • Mansfield, TX
National Provider Identifier
1477068435
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP136339 Issued in TX
Practice address
2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone
(817) 939-1588
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 814395 TX
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AP136339 TX Primary

Addresses

Primary practice location

2300 Lone Star Rd
Mansfield, TX 76063-8744

Mailing address

10317 Hackamore Cir
Mansfield, TX 76063-8205
Phone (178) 939-1588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180302000324 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335400563 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Practice addresses (Care Compare)

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000

3315 S Alameda St
Corpus Christi, TX 78411-1820
Phone (214) 687-0001

Hospital & facility affiliations

  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
72.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
814395TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Anesthesia Group, PLLC Single Specialty CurrentSince Jan 4, 2019 Accepting new patients
Northstar Anesthesia III PA Single Specialty CurrentSince Jun 30, 2021 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Single Specialty CurrentSince Feb 1, 2018 Accepting new patients
NTX Anesthesiology Consultants PLLC Single Specialty CurrentSince Sep 6, 2019 Accepting new patients
Grasshopper Anesthesia Services PLLC Single Specialty CurrentSince Jun 3, 2024 Accepting new patients
South Arlington Surgical Providers, LLC CurrentSince Jan 5, 2020 Accepting new patients

Locations

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3200 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 502-7300

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

1434 W US Highway 287 Byp
Ste 100
Waxahachie, TX 75165
Phone (469) 940-4030

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

Organizations & group practices 6

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

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": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1477068435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 HACKAMORE CIR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638205",
            "telephone_number": "178-939-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LONE STAR RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638744",
            "telephone_number": "817-939-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "CLINTON",
        "middle_name": "THOMAS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2022-10-07",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "814395",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP136339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.