Justin Tate Endersby, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0084524 Issued in OK

Practice address

900 17TH St
Woodward, OK 73801-2448

Phone

(580) 254-8492

NPI assigned

Jun 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Health Woodward Hospital Hospital, Woodward, OK, CCN 370002

Merit-based Incentive Payment System (MIPS)

Final score

64.87 of 100Reported as group

Quality

33.38

Promoting interoperability

79

Improvement activities

40

Cost

67.03

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integral Anesthesia, LLC

  • Anesthesiology Physician
  • Jenks, OK
  • NPI 1881041515

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Western Oklahoma Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1881102614
  Medicare reassignment NPD
• Northstar Anesthesia of Oklahoma, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1043516628

  OK

  Medicare reassignment NPD
• Newman Memorial Hospital, Inc

  • Critical Access Hospital
  • Shattuck, OK
  • NPI 1083617807
  Medicare reassignment

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

• Integris Health Woodward Hospital Inc

  dba Integris Health Woodward Hospital

  • General Acute Care Hospital
  • Woodward, OK
  • NPI 1558148627
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831138627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 234",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738019712",
            "telephone_number": "580-256-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 17TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012448",
            "telephone_number": "580-254-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERSBY",
        "first_name": "JUSTIN",
        "middle_name": "TATE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0084524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Edwards
• Jo Eike
• Joanna Elliott, APRN
• Susan Kay Ellis
• Sierra Dawn Elsey, DNP NP-C BSN IBCLC
• Marisa Chaffee Endersby, CRNA
• Enlighten Chiropractic PLLC
• ER Physician Group
• Candace Evans
• Emily Evans

• Certified Registered Nurse Anesthetist in Woodward, OK
• Providers in Woodward, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.