Individual provider Active NPI

Angela Lea Hartzler, CRNA

  • Certified Registered Nurse Anesthetist
  • Frisco, TX
National Provider Identifier
1518231307
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
732464 Issued in TX
Practice address
7011 Pecan St
Frisco, TX 75034-4240
Phone
(214) 471-5975
Fax
(214) 407-8475
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 79503 NE
Certified Registered Nurse Anesthetist 367500000X 732464 TX Primary

Addresses

Primary practice location

7011 Pecan St
Frisco, TX 75034-4240

Mailing address

1728 Sawtooth Oak TRL
Keller, TX 76248-5647
Phone (303) 803-2117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150522000771 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971764986 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79503NEMDCertified Registered Nurse Anesthetist
732464TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne County Hospital Association CurrentSince Apr 18, 2015 Accepting new patients
Ogallala Community Hospital CurrentSince Aug 1, 2019 Accepting new patients
Cheyenne County Hospital Association Inc CurrentSince Apr 18, 2015 Accepting new patients
Ogallala Community Hospital CurrentSince Aug 1, 2019 Accepting new patients
Lucare PLLC Past Accepting new patients
Sanjai Isaac MD, PA Past Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2601 N Spruce St
#A
Ogallala, NE 69153
Phone (308) 284-4011

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

645 Osage St
Sidney, NE 69162
Phone (308) 254-5825

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1518231307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 SAWTOOTH OAK TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485647",
            "telephone_number": "303-803-2117",
            "fax_number": "817-656-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 PECAN ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344240",
            "telephone_number": "214-471-5975",
            "fax_number": "214-407-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZLER",
        "first_name": "ANGELA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "79503",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "732464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.