Individual provider Active NPI

Jennifer Renee Bagwell Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1710217682
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP118728 Issued in TX
Practice address
416 S Henderson St
Fort Worth, TX 76104-1017
Phone
(682) 478-8123
Fax
(888) 851-5356
NPI assigned
Dec 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP118728 TX Primary
Registered Nurse 163W00000X 692657 TX
Certified Registered Nurse Anesthetist 367500000X 692657 TX
Certified Registered Nurse Anesthetist 367500000X 083700 TX

Addresses

Primary practice location

416 S Henderson St
Fort Worth, TX 76104-1017

Mailing address

301 Hillcrest St
Midlothian, TX 76065-3608
Phone (817) 371-6241

Other names 1

  • Mrs. Jennifer Renee Yowell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000421 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123157104 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
083700TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Partners, PLLC CurrentSince Jan 29, 2024 Accepting new patients
Arcadia Anesthesia PA CurrentSince Mar 1, 2021 Accepting new patients
Stratus Dominion Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 27, 2024 Accepting new patients
Steven M Gadol MD PA CurrentSince Jul 1, 2018 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2024 Accepting new patients
Noble Anesthesia Partners, PLLC CurrentSince Dec 5, 2022 Accepting new patients
General Anesthesia Services, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Lighthouse Anesthesia PLLC. Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2024 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2024 Accepting new patients
Hill Regional Physician Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2024 Accepting new patients
Stratus Anesthesia Associates Dallas PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Foremost Anesthesia Registered Nurse PastSince Oct 1, 2007 Accepting new patients
Edward Shin MD PA Past Accepting new patients

Locations (25 of 36)

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

5600 W Lovers Ln
Dallas, TX 75209
Phone (214) 520-4000

17950 Preston Rd
Ste 75
Dallas, TX 75252
Phone (972) 267-5400

9301 N Central Expy
Ste 685
Dallas, TX 75231
Phone (214) 265-9991

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

25 Highland Park Vlg
Ste 100765
Dallas, TX 75205
Phone (214) 219-3747

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

461 Westpark Way
Euless, TX 76040
Phone (817) 540-1755

3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 377-5223

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

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

416 S Henderson St
Ft Worth, TX 76104
Phone (682) 478-8123

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

8330 Sterling St
Irving, TX 75063

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1710217682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HILLCREST ST",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653608",
            "telephone_number": "817-371-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041017",
            "telephone_number": "682-478-8123",
            "fax_number": "888-851-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL SMITH",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP118728",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "692657",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "692657",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "083700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "YOWELL",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "CUPPLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.