Shala Deanne Clucas, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

88765 Issued in TX

Practice address

6606 LBJ Fwy
Suite 200
Dallas, TX 75240

Phone

(972) 715-5000

Fax

(972) 715-9976

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Shala Deanne Dickerson Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Anesthesia Consultants, LLPGroup PAC ID 3971516642, 137 clinicians

Spine Team Texas PAGroup PAC ID 6507888757, 27 clinicians

Sound Physicians Anesthesiology of Texas PLLCGroup PAC ID 1254751407, 134 clinicians

U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
• Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

Merit-based Incentive Payment System (MIPS)

Final score

88.94 of 100Reported as group

Quality

91.31

Improvement activities

40

Cost

79.05

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 27)

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.

• Metropolitan Anesthesia Consultants, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1902859697
  Medicare reassignment Care Compare group NPD
• Sound Physicians Anesthesiology of Texas PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1295356277
  Medicare reassignment Care Compare group NPD
• Spine Team Texas PA

  • Neurological Surgery Physician
  • Southlake, TX
  • NPI 1629082995
  Medicare reassignment Care Compare group NPD
• U. S. Anesthesia Partners of Texas, P.a.,

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548208564
  Medicare reassignment Care Compare group
• Afterglow Anesthesia PLLC

  • Anesthesiology Physician
  • Mesquite, TX
  • NPI 1558180083
  Medicare reassignment NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Independent Physicians Network PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1396274676
  Medicare reassignment NPD
• Mesquite Professional Anesthesia, PA

  • Anesthesiology Physician
  • Mesquite, TX
  • NPI 1831209949
  Medicare reassignment NPD
• Texas Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1144673468
  Medicare reassignment NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Mesquite, TX
  • NPI 1447792700

  Nurse Anesthetist, Certified Registered

  NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Beaumont, TX
  • NPI 1548817471

  Nurse Anesthetist, Certified Registered

  NPD
• Spine Team Texas, PA

  • Physical Medicine & Rehabilitation Physician
  • Allen, TX
  • NPI 1053798983
  NPD

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

• Michael Allison, M.D.

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1336144724

  Hospital

  Care Compare affiliation
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation
• Renato Victor Bosita, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1184663163

  Hospital

  Care Compare affiliation
• Albert C Broders III, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1699721415

  Hospital

  Care Compare affiliation
• Clinton Ray Brunson, M.D.

  • Diagnostic Radiology Physician
  • Palestine, TX
  • NPI 1942252267

  Hospital

  Care Compare affiliation
• Allan Odell Cook Jr., M.D.

  • Vascular Surgery Physician
  • Richardson, TX
  • NPI 1902842008

  Hospital

  Care Compare affiliation
• Bobby Huynh, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Richardson, TX
  • NPI 1114035383

  Hospital

  Care Compare affiliation
• Teresa D Kowalczyk, MD

  • Gynecology Physician
  • Greenville, TX
  • NPI 1538170261

  Hospital

  Care Compare affiliation
• Rockwall Regional Hospital, LLC

  • General Acute Care Hospital
  • Rockwall, TX
  • NPI 1629138029
  Care Compare affiliation
• Fayez G Seif, MD

  • Gastroenterology Physician
  • Mesquite, TX
  • NPI 1861591604

  Hospital

  Care Compare affiliation
• Texas Heart Hospital of the Southwest LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139
  Care Compare affiliation
• Johnny Lee White Jr., MD

  • Interventional Pain Medicine Physician
  • Odessa, TX
  • NPI 1336252477

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1548548506",
    "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": "972-715-1999",
            "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": "CLUCAS",
        "first_name": "SHALA",
        "middle_name": "DEANNE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "723566",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "751989",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "88765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287409103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8331UG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALA",
            "last_name": "DICKERSON",
            "middle_name": "DEANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Mwansa Clough, PMHNP
• Rhonda Clowe
• Julia Michelle Clowers, RNC, NNP
• Caitlyn Kennedy Cloy, MD
• Richard David Clubb
• Davetta Cluke, LPC
• Jennifer Clutter, M.S. CCC-SLP
• Hadley Clyce
• Alexis Inabinet Clyde, PHD
• Caitlin Clyde, PA-C

• Certified Registered Nurse Anesthetist in Dallas, TX
• Providers in Dallas, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.