Individual provider Active NPI

Danielle Wilderman, CRNA, FNP-C

  • Certified Registered Nurse Anesthetist
  • Waxahachie, TX
National Provider Identifier
1699178129
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
862955 Issued in TX
Practice address
1002 Legacy Ranch Rd Ste 102
Waxahachie, TX 75165-1293
Phone
(254) 724-2111
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 862955 TX Primary

Addresses

Primary practice location

1002 Legacy Ranch Rd Ste 102
Waxahachie, TX 75165-1293

Mailing address

245 McKinley Cir
Waxahachie, TX 75167-0125
Phone (602) 481-3316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119001744 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143248179 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Allied Anesthesia, PLLCGroup PAC ID 1052698172, 23 clinicians

Practice addresses (Care Compare)

Richardson, TX 75080
Phone (214) 660-5266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
862955TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Valiant Anesthesia Associates, PLLC CurrentSince Jan 1, 2019 Accepting new patients
Anesthesia Partners of Dallas PLLC CurrentSince Nov 1, 2017 Accepting new patients
Arlington Anesthesia Group, PLLC CurrentSince Jun 4, 2021 Accepting new patients
Texas Allied Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
NTX Anesthesiology Consultants PLLC CurrentSince Apr 7, 2018 Accepting new patients
South Arlington Surgical Providers, LLC CurrentSince Jun 4, 2021 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients

Locations

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2435 N Central Expy
Ste 1200
Richardson, TX 75080
Phone (214) 442-1900

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

1434 W US Highway 287 Byp
Waxahachie, TX 75165
Phone (469) 553-1011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1699178129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MCKINLEY CIR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751670125",
            "telephone_number": "602-481-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LEGACY RANCH RD STE 102",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDERMAN",
        "first_name": "DANIELLE",
        "credential": "CRNA, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "862955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.