Active NPI
Nicholas S Fausett, CRNA
- Certified Registered Nurse Anesthetist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP136370
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229 - Phone
- (210) 358-4000
- NPI assigned
- Feb 27, 2018
- Sex
- Male
- 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 | AP136370 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229
Mailing address
7703 Floyd Curl Dr # Mc7977
San Antonio, TX 78229-3901
Phone (210) 358-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382090402 | Other | TX | CSHCN |
| 382090401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180316000176 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5092077784 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Baylor College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11212 State Hwy 151
San Antonio, TX 78251-4498
Phone (210) 703-8801
Hospital & facility affiliations
- Christus Santa Rosa Hospital-San Marcos
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136370 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Anesthesia Management | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations
17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033
138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977
17980 Dallas Pkwy
Ste 100
Dallas, TX 75287
Phone (817) 556-8387
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
809 W Harwood Rd
Ste 101
Hurst, TX 76054
Phone (817) 283-5252
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, TX
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
TX
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
Hospital
-
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1891296539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR # MC7977",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-358-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-358-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUSETT",
"first_name": "NICHOLAS",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-27",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP136370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "382090402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382090401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.