Individual provider Active NPI

Mark Tyler Hampton, RN

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1861967606
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP140430 Issued in TX
Practice address
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone
(817) 926-4544
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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 AP140430 TX Primary

Addresses

Primary practice location

1400 8TH Ave
Fort Worth, TX 76104-4110

Mailing address

213 Adrian Dr
Fort Worth, TX 76107-1965
Phone (903) 271-4641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, KS, AR, NM, OR6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20190220001399 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557609369 Reassigns benefits to 8 organizations
I20220906002856 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557609369 Reassigns benefits to 2 organizations
I20230211000393 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557609369 Reassigns benefits to 1 organization
I20230811000845 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557609369
I20231002000559 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557609369
I20231106002423 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557609369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Practice addresses (Care Compare)

108 Denver TRL
Azle, TX 76020-3614
Phone (214) 228-1124

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

411 N Belknap St
Stephenville, TX 76401-3415
Phone (817) 861-3994

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

909 9TH Ave
Fort Worth, TX 76104-3903
Phone (817) 336-6060

Hospital & facility affiliations

  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140430TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC CurrentSince Dec 1, 2022 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince May 16, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince May 16, 2023 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2021 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2020 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
Capital Anesthesia Solutions of Arkansas, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Dec 1, 2021 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations (25 of 41)

3000 Medical Center Pkwy
Fl 2
Bentonville, AR 72712

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

1401 8th Ave
Ft Worth, TX 76104
Phone (817) 334-2831

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1861967606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ADRIAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071965",
            "telephone_number": "903-271-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-926-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "MARK",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.