Individual provider Active NPI

Kelly Susan Ruxer, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1710916689
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP114737 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Jul 2, 2006
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 717003 TX
Certified Registered Nurse Anesthetist 367500000X AP114737 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 840853
Dallas, TX 75284-4658
Phone (972) 233-1999

Other practice location 1

3705 Medical Pkwy
Suite 570
Austin, TX 78705
Phone (512) 454-2554

Other practice location 2

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-2111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kruxer930498@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060425000678 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406866185 Reassigns benefits to 6 organizations
I20250701004715 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406866185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Seguin PLLCGroup PAC ID 4284620592, 24 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-5867

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
717003TXMDCertified Registered Nurse Anesthetist
AP114737TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Scott & White Clinic CurrentSince Dec 7, 2021 Accepting new patients
Anesthesia Associates of Seguin PLLC CurrentSince May 1, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jun 19, 2025 Accepting new patients
Billings Clinic CurrentSince Jun 19, 2025 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2021 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2023 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Sep 1, 2020 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Scott & White Clinic CurrentSince Dec 7, 2021 Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1111 W 34th St
Austin, TX 78705
Phone (512) 343-2466

1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000

12200 Renfert Way
Ste G-2
Austin, TX 78758
Phone (512) 901-8340

12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

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

4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

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

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

1891 Medical Pkwy
San Marcos, TX 78666
Phone (512) 754-7999

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: kruxer930498@direct.sw.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1710916689",
    "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": "752844658",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 Medical Pkwy",
            "address_2": "Suite 570",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78705",
            "country_code": "US",
            "telephone_number": "512-454-2554",
            "fax_number": "512-454-1532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUXER",
        "first_name": "KELLY",
        "middle_name": "SUSAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "717003",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP114737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kruxer930498@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Aug 4, 2022; 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.