NPIMap

Organization Active NPI

Specialized Crna Services L.L.C.

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1497186092
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
501103/40277 Issued in TX
Legal business name
SPECIALIZED CRNA SERVICES L.L.C.
Practice address
5115 Main St Ste 1000
Houston, TX 77002-9749
Phone
(713) 580-2500
Fax
(713) 580-2596
NPI assigned
Dec 6, 2013
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Mrs. Patricia C Elles, C.R.N.A.NPI 1952306920
Title
Owner
Phone
(832) 423-4422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 501103/40277 TX Primary

Addresses

Primary practice location

5115 Main St Ste 1000
Houston, TX 77002-9749

Mailing address

25511 Budde Rd Ste 2502
The Woodlands, TX 77380-2388
Phone (832) 616-5560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140528000628 TX Part B Supplier - Clinic/Group Practice 1153544853 Receives reassigned benefits from 17 practitioners
Practice locations: Humble, TX; Katy, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

5115 Fannin St
Houston, TX 77004

5115 Main St
Ste 100
Houston, TX 77002
Phone (713) 275-2437

5115 Main St
Ste 1000
Houston, TX 77002

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1497186092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 2502",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802388",
            "telephone_number": "832-616-5560",
            "fax_number": "866-475-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 MAIN ST STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029749",
            "telephone_number": "713-580-2500",
            "fax_number": "713-580-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED CRNA SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "ELLES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-423-4422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.R.N.A."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "501103/40277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.