Individual provider Active NPI

Gerald H Ford, CRNA

  • Certified Registered Nurse Anesthetist
  • Abilene, TX
National Provider Identifier
1811986193
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
038581 Issued in TX
Practice address
4400 Buffalo Gap Rd
Suite 2250
Abilene, TX 79606-2723
Phone
(325) 793-5380
Fax
(325) 793-5259
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 038581 TX Primary

Addresses

Primary practice location

4400 Buffalo Gap Rd
Suite 2250
Abilene, TX 79606-2723

Mailing address

PO Box 5409
Abilene, TX 79608-5409
Phone (325) 793-5380

Other identifiers 3

IdentifierTypeStateIssuer
P00342697OtherTXMEDICARE ID
86009UOtherTXBCBSTX
C088724C5MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060829000131 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294739595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.91 of 100Reported as group
Quality
70.09
Promoting interoperability
95
Improvement activities
40
Cost
50.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038581TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Amsurg Abilene Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2021 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Amsurg Mdsine Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

6250 US Highway 83
#84
Abilene, TX 79606

1249 Ambler Ave
Ste 100
Abilene, TX 79601
Phone (325) 677-2626

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1811986193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5409",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085409",
            "telephone_number": "325-793-5380",
            "fax_number": "325-793-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BUFFALO GAP RD",
            "address_2": "SUITE 2250",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062723",
            "telephone_number": "325-793-5380",
            "fax_number": "325-793-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "GERALD",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "038581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P00342697",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "86009U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C088724C5",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.