Active NPI
Anita Marie Bertrand, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 644316
- Practice address
- 2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817 - Phone
- (713) 620-4000
- NPI assigned
- Nov 8, 2005
- Last updated
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 644316 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Mailing address
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone (713) 620-4000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169581 | Medicaid | LA | |
| 050595 | Other | TX | AANA RECERTIFICATION |
| 002975305 | Medicaid | TX | |
| 8654UU | Other | TX | BLUE CROSS BLUE SHIELD |
| P00905289 | Other | TX | RAILROAD MEDICARE |
| 82949U | Other | TX | BLUE CROSS/BLUE SHIELD |
| 002975302 | Medicaid | TX | |
| 002975306 | Medicaid | TX | |
| 430078988 | Other | TX | RAILROAD MEDICARE |
| 8637UA | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Anita Marie Mickley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1313 Hermann Dr
Houston, TX 77004-7005
Phone (713) 527-5000
1635 N Loop W
Houston, TX 77008-1532
Phone (713) 400-2990
4865 County Rd
Suite 260
Nacogdoches, TX 75965-7016
Phone (936) 564-8324
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.9 of 100
- Quality
- 72.83
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50595 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochiltree Hospital District | Current | Accepting new patients | |
| Ochiltree Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Texans Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients | |
| Specialized Crna Services L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baylor College of Medicine | Past | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| River Oaks Anesthesia Consultants PA | Past | Accepting new patients |
Locations
110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
5115 Fannin St
Ste 1000
Houston, TX 77004
Phone (713) 275-2457
8850 Long Point Rd
Houston, TX 77055
Phone (713) 467-6555
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300
811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411
3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703
3101 Garrett Dr
Perryton, TX 79070
Phone (806) 435-3606
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
25511 Budde Rd
Ste 2502
The Woodlands, TX 77380
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
Nurse Anesthetist, Certified Registered
-
dba Pain Relief Associates
- Anesthesiology Physician
- Webster, TX
- NPI 1275733982
Nurse Anesthetist, Certified Registered
-
dba Ochiltree General Hospital ER Physician Group
- Emergency Medicine Physician
- Perryton, TX
- NPI 1043362908
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1497186092
Nurse Anesthetist, Certified Registered
-
- Ambulance
- Perryton, TX
- NPI 1043030448
-
dba The DeWitt Family Practice
- Rural Health Clinic/Center
- Perryton, TX
- NPI 1528557410
-
dba Baylor Premier Anesthesiology Associates
- Anesthesiology Physician
- Houston, TX
- NPI 1043493794
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Anesthesiology Physician
- Houston, TX
- NPI 1669468922
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Houston Healthcare Medical Center
- General Acute Care Hospital
- Houston, TX
- NPI 1073043592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1851372734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAND",
"first_name": "ANITA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "644316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2169581",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA RECERTIFICATION",
"identifier": "050595",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002975305",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8654UU",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00905289",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "82949U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002975302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002975306",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430078988",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8637UA",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "MICKLEY",
"middle_name": "MARIE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.