Philip Shirley

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1020582 Issued in TX

Practice address

1912 Glass Ave
Rockport, TX 78382-3416

Phone

(361) 660-6157

NPI assigned

Sep 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Beeville Hospital, Beeville, TX, CCN 450082
• Otto Kaiser Memorial Hospital Hospital, Kenedy, TX, CCN 451364

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928
  Medicare reassignment NPD
• Citizen'S Medical Center County of Victoria

  • Multi-Specialty Clinic/Center
  • Victoria, TX
  • NPI 1205242088
  Medicare reassignment NPD
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Texas Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1144673468
  Medicare reassignment NPD
• Third Coast Anesthesia Associates, PLLC

  • Certified Registered Nurse Anesthetist
  • Victoria, TX
  • NPI 1487319075

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Cahrmc

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Beeville, TX
  • NPI 1447228747
  Care Compare affiliation
• Karnes County Hospital District

  • Critical Access Hospital
  • Kenedy, TX
  • NPI 1699772541
  Care Compare affiliation

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1801401559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 GLASS AVE",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823416",
            "telephone_number": "361-660-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 GLASS AVE",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823416",
            "telephone_number": "361-660-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "PHILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1020582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0869",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rockport",
            "affiliation": "N",
            "address_1": "1912 Glass Ave",
            "city": "Rockport",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783823416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley A Schultz, D.D.S, P.A.
• Scott Hearing Aid Inc
• Kimberly Dawn Seelke-Hernandez, NNP
• Kevin E Sherlock, M.D.
• Samantha Shetters, LMT
• Siloe Home Health & Infusion, LLC
• Nichole Q Soto, THERAPEUTIC OPTOMETR
• South Texas Family Planning & Health Corporation
• Mary Ellen Spencer, L.P.C.
• Sperry and Drake Dental Partnership

• Certified Registered Nurse Anesthetist in Rockport, TX
• Providers in Rockport, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.