Audrey R. Cowan, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Cleburne, TX
NPI 1780656181 · NPPES record last updated Nov 26, 2008
Key facts
- NPI
- 1780656181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 652302 (TX)
- Practice address
- 5701 Conveyor Dr
Cleburne, TX 76031-0996 - Phone
- (817) 937-9518
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endo Sedation LLC
Practice addresses (Care Compare)
180 Bear Creek Pkwy
Keller, TX 76248-2500
Phone (817) 337-3671
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040528000763 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648251256 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 652302 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cowtown Anesthesia Serivces, L.L.P. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Renwa Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Weatherford Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
6317 Harris Pkwy
Ste 100
Fort Worth, TX 76132
Phone (817) 332-6500
6445 Harris Pkwy
Fort Worth, TX 76132
Phone (817) 423-2888
900 W Magnolia Ave
Ste 101
Fort Worth, TX 76104
Phone (817) 332-6500
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171
550 Reserve St
Ste 560
Southlake, TX 76092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 652302 | TX | Yes |
Addresses
Primary practice location
5701 Conveyor Dr
Cleburne, TX 76031-0996
Mailing address
5701 Conveyor Dr
Cleburne, TX 76031-0996
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89162U | Other | BCBS |
Other providers in Cleburne, TX
- Compassionate Harmony Therapy
- Nathan Copeland
- Priscilla E Corson
- Coryell County Memorial Hospital Authority
- Countywide Dental PA
- Jennifer Cox
- Pamela Sue Coym
- Rachel Crawley
- Melaina Crocker
- Russell V, Crook
All providers in Cleburne, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2008. 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.