Individual provider Active NPI

Mary E Hall, CRNA

  • Certified Registered Nurse Anesthetist
  • McKinney, TX
National Provider Identifier
1528082526
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
128978 Issued in TX
Practice address
1501 Redbud Blvd
McKinney, TX 75069-3226
Phone
(972) 668-7460
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R094040 MD
Certified Registered Nurse Anesthetist 367500000X 128978 TX Primary

Addresses

Primary practice location

1501 Redbud Blvd
McKinney, TX 75069-3226

Mailing address

7117 Bentley Ave
Fort Worth, TX 76137-3336
Phone (972) 668-7460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000053 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557490901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 Redbud Blvd
McKinney, TX 75069-3226
Phone (972) 668-7460

4041 W Wheatland Rd
Suite 156343
Dallas, TX 75237-4063

5421 La Sierra Dr
Dallas, TX 75231-4107

850 Leora LN
Apt 2121
Lewisville, TX 75056-4672

PO Box
Suite 561269
The Colony, TX 75056-6269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R094040MDMDRegistered Nurse
128978TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Anesthesia Services & Pain CurrentSince Feb 8, 2015 Accepting new patients
Mary Hall Crna PLLC CurrentSince Aug 1, 2022 Accepting new patients
Warren H Macleod C R N a PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4041 W Wheatland Rd
Ste 156
Dallas, TX 75237
Phone (972) 223-7878

4041 W Wheatland Rd
#156343
Dallas, TX 75237
Phone (972) 223-7878

1010 E Wheatland Rd
Ste A
Duncanville, TX 75116
Phone (469) 916-1750

1501 Redbud Blvd
McKinney, TX 75069
Phone (972) 430-4764

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1528082526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 BENTLEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373336",
            "telephone_number": "972-668-7460",
            "fax_number": "972-474-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 REDBUD BLVD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693226",
            "telephone_number": "972-668-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R094040",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "128978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.