Patricia Anne Banuelos, CNRA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Bessemer, AL
NPI 1568032290 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1568032290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1-159539 (AL)
- Practice address
- 6220 Bent Brook Dr
Bessemer, AL 35022-6700 - Phone
- (205) 586-6403
- NPI assigned
- Jun 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Alabama Health Services Foundation, PC
Anesthesiologists Associated PC
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925
Hospital & facility affiliations
- Grandview Medical Center
- University of Alabama Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230613001277 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9638536279 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-159539 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesiologists Associated PC | Current |
Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 1-159539 | AL | Yes |
Addresses
Primary practice location
6220 Bent Brook Dr
Bessemer, AL 35022-6700
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Other practice location 1
313 Savannah Club Dr
Calera, AL 35040-5486
Phone (120) 558-6640
Other practice location 2
619 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-4011
Other providers in Bessemer, AL
- Michael John Alpuerto Badiola
- James Warren Ballard
- Stanford Curry Ballard
- Peter O Bamikole
- Ebonie Kenyatta Banks
- Barbara'S Family Style Salon
- Wanda D Barnett
- David Roy Barthold
- Amanda Barton
- Kacy Bartow
All providers in Bessemer, AL · Certified Registered Nurse Anesthetist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.