Individual provider Active NPI

Chalon Hollas, CRNA

  • Certified Registered Nurse Anesthetist
  • Coppell, TX
National Provider Identifier
1477967131
Registry record updated Jun 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP125738 Issued in TX
Practice address
220 Hollywood Dr
Coppell, TX 75019-7308
Phone
(682) 365-4872
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2016

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 AP125738 TX Primary

Addresses

Primary practice location

220 Hollywood Dr
Coppell, TX 75019-7308

Mailing address

PO Box 2626
Fort Worth, TX 76113-2626
Phone (817) 294-7444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020000528 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315168275 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Pain and Wellness PAGroup PAC ID 1557378601, 14 clinicians
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1101 Raintree Cir
Suite 240
Allen, TX 75013-4926
Phone (469) 326-5100

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Pain & Wellness PA CurrentSince Sep 1, 2021 Accepting new patients
Dallas County Hospital District CurrentSince May 1, 2015 Accepting new patients
American Pain & Wellness PA CurrentSince Sep 1, 2021 Accepting new patients
Go Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Iwc Health Solutions LLC Past Accepting new patients

Locations

1101 Raintree Cir
Ste 240
Allen, TX 75013
Phone (214) 383-9270

1217 E Corporate Dr
Arlington, TX 76006
Phone (469) 326-5100

5400 Highway 121
Ste 100A
Colleyville, TX 76034
Phone (817) 354-8697

461 Westpark Way
Euless, TX 76040
Phone (817) 540-1755

11500 State Highway 121
Ste 1010
Frisco, TX 75035
Phone (214) 807-0445

3308 Preston Rd
#350105
Plano, TX 75093

3060 Communications Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-5100

3308 Preston Rd
Ste 350105
Plano, TX 75093

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465689600000",
    "number": "1477967131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132626",
            "telephone_number": "817-294-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HOLLYWOOD DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197308",
            "telephone_number": "682-365-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAS",
        "first_name": "CHALON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2016-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP125738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; 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.