Individual provider Active NPI

Anita Marie Bertrand, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1851372734
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
644316 Issued in TX
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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 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

IdentifierTypeStateIssuer
2169581MedicaidLA
050595OtherTXAANA RECERTIFICATION
002975305MedicaidTX
8654UUOtherTXBLUE CROSS BLUE SHIELD
P00905289OtherTXRAILROAD MEDICARE
82949UOtherTXBLUE CROSS/BLUE SHIELD
002975302MedicaidTX
002975306MedicaidTX
430078988OtherTXRAILROAD MEDICARE
8637UAOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Anita Marie Mickley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000225 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547282337 Reassigns benefits to 5 organizations

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
Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians
Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians

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 100Reported as group
Quality
72.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50595TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochiltree Hospital District CurrentSince May 1, 2024 Accepting new patients
Ochiltree Hospital District Nurse Anesthetist, Certified Registered Current Accepting new patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2020 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Sep 1, 2021 Accepting new patients
Specialized Crna Services L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2017 Accepting new patients
Ochiltree Hospital District CurrentSince May 1, 2024 Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2022 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.

Hospital & facility affiliations 1

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

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.

Verify at the official NPI Registry.