Colleen Ellen Braunitzer, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Dallas, TX
NPI 1487795936 · NPPES record last updated Jun 1, 2018
Key facts
- NPI
- 1487795936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP117637 (TX)
- Practice address
- 6606 LBJ Fwy
Suite 200
Dallas, TX 75240 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Southern Illinois University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- U S Anesthesia Partners of Texas, PA
Practice addresses (Care Compare)
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-6356
Hospital & facility affiliations
- Texas Health Presbyterian Hospital Plano
- Texas Health Hospital Frisco
- Baylor University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090212000104 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7911003777 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-339387 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| DM Anesthetists of Il, LLC | Past | Accepting new patients |
Locations
3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235
3500 W Wheatland Rd
#M
Dallas, TX 75237
Phone (214) 947-7699
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
3500 Gaston Ave
Dallas, TX 75246
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 041-339387 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | AP117637 | TX | Yes |
Addresses
Primary practice location
6606 LBJ Fwy
Suite 200
Dallas, TX 75240
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8765UG | Other | TX | BCBS |
| 89716U | Other | TX | BCBS |
| 205060102 | Medicaid | TX | |
| D400-1057-7645-19-04 | Other | IL | IL DRIVER'S LICENSE |
| P00679422 | Other | TX | RAILROAD |
| 205060101 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1487795936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LBJ FWY",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "75240",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNITZER",
"first_name": "COLLEEN",
"middle_name": "ELLEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041-339387",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP117637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8765UG",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89716U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205060102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL DRIVER'S LICENSE",
"identifier": "D400-1057-7645-19-04",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00679422",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205060101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
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- Sally Dee Braun
- Stephanie Braun
- Allison Brautigam
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- Bravo Dental
- Bravo Dental
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All providers in Dallas, 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 Jun 1, 2018. 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.