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

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (2,750 clinicians)

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-6356

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital · Plano, TX · CCN 450771
  • Texas Health Hospital Frisco Hospital · Frisco, TX · CCN 670260
  • Baylor University Medical Center Hospital · Dallas, TX · CCN 450021

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100 (group)
Quality
91.31
Improvement activities
40
Cost
79.05

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
041-339387ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered Current
since Jun 19, 2011
Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered Current
since Mar 9, 2014
Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered Current
since Mar 9, 2014
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8765UGOtherTXBCBS
89716UOtherTXBCBS
205060102MedicaidTX
D400-1057-7645-19-04OtherILIL DRIVER'S LICENSE
P00679422OtherTXRAILROAD
205060101MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2018.

{
    "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

All providers in Dallas, TX · Certified Registered Nurse Anesthetist in Texas

Sources for this page

Verify at the official NPI Registry.