Active NPI
Nicky Hartdegen, CRNA
- Certified Registered Nurse Anesthetist
- McAllen, TX
National Provider Identifier
1851335814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 457349
- Practice address
- 101 E Ridge Rd
McAllen, TX 78503-1847 - Phone
- (956) 632-6000
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 457349 | TX | Primary |
Addresses
Primary practice location
101 E Ridge Rd
McAllen, TX 78503-1847
Mailing address
PO Box 1108
Luling, TX 78648-1108
Phone (830) 875-6786
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137810112 | Medicaid | TX | |
| 3657500000X | Other | TX | TAXONOMY CODE |
| 160955401 | Medicaid | TX | |
| 00C85R | Other | TX | BCBS GRP NUMBER |
| 82882U | Other | TN | BCBS |
| 457349 | Other | TX | CRNA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35875 | TX | MD | Pharmacist |
| 457349 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Grande Anesthesia & Pain Medicine Consultants, P .a. | Past | Accepting new patients | |
| Easter Anesthesia Staffing Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ascension Seton | Past | Accepting new patients | |
| North Houston Anesthesiologists, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Bluebonnet Anesthesia Services PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ascension Seton | Past | Accepting new patients | |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- New Braunfels, TX
- NPI 1699870857
Nurse Anesthetist, Certified Registered
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
dba Ascension Seton Elgin Health Center
- Rural Health Clinic/Center
- Elgin, TX
- NPI 1437714987
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Luling, TX
- NPI 1659319580
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kingwood, TX
- NPI 1760495725
Nurse Anesthetist, Certified Registered
-
- Pediatric Anesthesiology Physician
- Edinburg, TX
- NPI 1508613472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1851335814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "LULING",
"state": "TX",
"postal_code": "786481108",
"telephone_number": "830-875-6786",
"fax_number": "830-875-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E RIDGE RD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031847",
"telephone_number": "956-632-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTDEGEN",
"first_name": "NICKY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "457349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137810112",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY CODE",
"identifier": "3657500000X",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160955401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GRP NUMBER",
"identifier": "00C85R",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82882U",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA LICENSE",
"identifier": "457349",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.