Active NPI
Angela Mordecai, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 766754
- Practice address
- 6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 766754 | TX | Primary |
Addresses
Primary practice location
6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317029201 | Medicaid | TX | |
| 317029202 | Medicaid | TX | |
| P01172780 | Other | TX | RAILROAD |
| 8817UD | Other | TX | BCBS |
| 8682UG | Other | TX | BCBS TX |
Other names 1
- Angela Avant
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- amordecai1279940@direct.sw.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Waxahachie, TX
- NPI 1598658015
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White All Saints Medical Center - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1558615880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-715-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LBJ FWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406524",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORDECAI",
"first_name": "ANGELA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "766754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "317029201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "317029202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01172780",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8817UD",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "8682UG",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "AVANT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.