Individual provider Active NPI

Annie Muco Iacarella, CRNA

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
National Provider Identifier
1831618982
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95001158 Issued in CA
Practice address
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone
(323) 442-7400
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 R20857-0 MN
Certified Registered Nurse Anesthetist 367500000X NA95001158 CA Primary

Addresses

Primary practice location

1500 San Pablo St
Los Angeles, CA 90033-5313

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-7400

Other names 1

  • Annie Muco Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annie.iacarella@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803000440 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173889722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

403 Treeline Park
San Antonio, TX 78209-2042
Phone (210) 294-8004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2109MNMDAthletic Trainer
NA95001158CAMDCertified Registered Nurse Anesthetist
R20857-0MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Jul 28, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Sep 13, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Sep 13, 2021 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients

Locations (25 of 36)

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

403 Treeline Park
Bldg 1
San Antonio, TX 78209
Phone (210) 294-8000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2116 Babcock Rd
San Antonio, TX 78229
Phone (210) 202-0288

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

9618 Huebner Rd
Ste 111
San Antonio, TX 78240
Phone (210) 942-0999

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

710 Knights Cross Dr
San Antonio, TX 78258
Phone (210) 934-5471

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100

1927 Rogers Rd
San Antonio, TX 78251
Phone (205) 263-7863

6427 Old Babcock Rd
Ste 100
San Antonio, TX 78240
Phone (210) 704-0465

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

1139 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 638-2000

7909 Fredericksburg Rd
Ste 222
San Antonio, TX 78229
Phone (210) 581-5900

9522 Huebner Rd
San Antonio, TX 78240
Phone (210) 478-5390

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": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1831618982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACARELLA",
        "first_name": "ANNIE",
        "middle_name": "MUCO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R20857-0",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annie.iacarella@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 San Pablo St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "MUCO",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.