Jose M Acosta, C.R.N.A.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Temple, TX
NPI 1477592525 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1477592525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP113714 (TX)
- Practice address
- 2401 S 31St St
Temple, TX 76508-1608 - Phone
- (254) 724-2111
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scott and White Clinic
Ut Physicians
Practice addresses (Care Compare)
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-4635
6410 Fannin St
Houston, TX 77030-3005
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Temple
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041105000220 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4587627153 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP113714 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current |
Accepting new patients | |
| Scott & White Clinic | Current |
Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 672594 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP113714 | TX | Yes |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-1608
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jacosta1293046@direct.sw.org | Direct |
Other providers in Temple, TX
- Shauntay Abrams
- Jose Marri Abril
- Access Living Services, Inc.
- Ace Dental05, PLLC
- Kellie Nicole Achord
- Acre Wood Dental - Temple PA
- Tayler Acton
- Creighton R Adams
- Gabrielle Adams
- Heather Ann Adams
All providers in Temple, 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 27, 2024. 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.