Individual provider Active NPI

Antonio R Acosta, DNP, APRN, CRNA, NSP

  • Certified Registered Nurse Anesthetist
  • Fort Stockton, TX
National Provider Identifier
1508848839
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
677410 Issued in TX
Practice address
387 W Interstate 10
Fort Stockton, TX 79735-2700
Phone
(432) 336-2004
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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 677410 TX Primary

Addresses

Primary practice location

387 W Interstate 10
Fort Stockton, TX 79735-2700

Mailing address

9934 Hubble Dr
Iowa Colony, TX 77583-1503
Phone (832) 920-6451

Other identifiers 1

IdentifierTypeStateIssuer
1710576-02MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000947 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941251664 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecos County Memorial Hospital District 32 clinicians

Practice addresses (Care Compare)

387 W Ih
Suite 10
Fort Stockton, TX 79735
Phone (432) 336-2058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
677410TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos County Memorial Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Pecos County Memorial Hospital CurrentSince Jun 27, 2024 Accepting new patients
Pecos County Memorial Hospital District CurrentSince Jul 26, 2025 Accepting new patients
Teleios Anesthesia PLLC CurrentSince Mar 1, 2022 Accepting new patients
Pecos County Memorial Hospital Current Accepting new patients
Pecos County Memorial Hospital CurrentSince Jun 27, 2024 Accepting new patients
Digestive & Liver Center, PA CurrentSince Nov 1, 2022 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2020 Accepting new patients
Anderson County Anesthesia Associates, PA Past Accepting new patients

Locations

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

511 N Main St
Fort Stockton, TX 79735
Phone (432) 336-2291

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

219 Oak Dr S
#B
Lake Jackson, TX 77566
Phone (979) 297-4033

109 Parking Way St
Lake Jackson, TX 77566
Phone (979) 292-0033

219 Oak Dr S
#A
Lake Jackson, TX 77566
Phone (979) 297-4033

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1508848839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9934 HUBBLE DR",
            "city": "IOWA COLONY",
            "state": "TX",
            "postal_code": "775831503",
            "telephone_number": "832-920-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W INTERSTATE 10",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797352700",
            "telephone_number": "432-336-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ANTONIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CRNA, NSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "677410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710576-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stockton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.