Individual provider Active NPI

David F Sellers, CRNA

  • Certified Registered Nurse Anesthetist
  • Texarkana, TX
National Provider Identifier
1740288638
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
235571 Issued in TX
Practice address
4080 Summerhill SQ
Texarkana, TX 75503-2730
Phone
(903) 793-7994
Fax
(903) 793-7996
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 AP101349 WI
Certified Registered Nurse Anesthetist 367500000X 235571 TX Primary

Addresses

Primary practice location

4080 Summerhill SQ
Texarkana, TX 75503-2730

Mailing address

PO Box 988
Texarkana, TX 75504-0988
Phone (903) 793-7994

Other identifiers 4

IdentifierTypeStateIssuer
84293COtherTXBLUE CROSS
97081OtherARBLUE CROSS
109670303MedicaidTX
128073701MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, LA, IN, GA, NC6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20080919000125 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961579727 Reassigns benefits to 3 organizations
I20190411000133 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961579727 Reassigns benefits to 1 organization
I20191221000102 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961579727 Reassigns benefits to 2 organizations
I20201029000160 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961579727 Reassigns benefits to 3 organizations
I20240726003427 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961579727 Reassigns benefits to 3 organizations
I20250707003400 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961579727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shreveport Sedation Associates, LLCGroup PAC ID 3173886736, 10 clinicians
Alamo Sedation Associates, PLLCGroup PAC ID 2769748623, 4 clinicians

Practice addresses (Care Compare)

3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121

8550 Datapoint Dr
Suite 100
San Antonio, TX 78229-3436
Phone (210) 615-7232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP101349WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Charlotte Support Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2025 Accepting new patients
Piedmont Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 25, 2026 Accepting new patients
Triad Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 4, 2025 Accepting new patients
Northern Indiana Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Lone Star Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2023 Accepting new patients
Alamo Sedation Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2024 Accepting new patients
Oconee River Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 9, 2025 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2019 Accepting new patients
Anesthesia Care Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Texarkana Gastroenterology Consultants, PA CurrentSince Jan 26, 2011 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2025 Accepting new patients
Shreveport Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Digestive Care of Evansville PC Past Accepting new patients

Locations

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103

801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103

647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103

53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174

3217 Mabel St
Shreveport, LA 71103

300 Billingsley Rd
Ste 200B
Charlotte, NC 28211
Phone 70437279742165

1663 Campus Park Dr
Ste A
Monroe, NC 28112
Phone (704) 261-1220

137 Mount Calvary Rd
#A
Thomasville, NC 27360

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

19502 McKay Dr
Ste 101
Humble, TX 77338
Phone (281) 312-6900

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

17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600

1920 Moores Ln
Texarkana, TX 75503
Phone (903) 791-8657

1920 Moores Ln
Ste A
Texarkana, TX 75503
Phone (903) 792-8030

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

Interoperability endpoints

  • FHIR API: https://ab0ad0d3-1a1d-47a7-80b0-c0bd276b844e.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1740288638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755040988",
            "telephone_number": "903-793-7994",
            "fax_number": "903-793-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 SUMMERHILL SQ",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032730",
            "telephone_number": "903-793-7994",
            "fax_number": "903-793-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "DAVID",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "AP101349",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "235571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "84293C",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "97081",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109670303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128073701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.