Individual provider Active NPI

Amanda Hancke, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1912099177
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
746485 Issued in TX
Practice address
13601 Preston Rd
Ste 1000W
Dallas, TX 75240-4911
Phone
(972) 663-8523
Fax
(972) 663-8329
NPI assigned
Sep 28, 2006
Last updated
Apr 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 072225 NC
Certified Registered Nurse Anesthetist 367500000X 746485 TX Primary

Addresses

Primary practice location

13601 Preston Rd
Ste 1000W
Dallas, TX 75240-4911

Mailing address

PO Box 650426
Dallas, TX 75265-0426
Phone (972) 663-8523

Other identifiers 4

IdentifierTypeStateIssuer
188315902MedicaidTX
P00719271OtherTXRAILROAD
8052245MedicaidNC
89588UOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000715 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981645033 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nocona Hospital DistrictGroup PAC ID 5395786180, 23 clinicians

Practice addresses (Care Compare)

100 Park Rd
Nocona, TX 76255-3616
Phone (940) 825-3235

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072225NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaufman Orthopedic Pain Management, PLLC CurrentSince Nov 1, 2015 Accepting new patients
Genesis Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2016 Accepting new patients
Olney-Hamilton Hospital District CurrentSince Nov 1, 2023 Accepting new patients
Olney Hamilton Hospital District Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Nocona Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2007 Accepting new patients
Nocona Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Advanced Health Services, LLC PastSince Apr 27, 2019 Accepting new patients
Durham Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Regional Anesthesia, PLLC Past Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235

108 E US Highway 80
Ste 150
Forney, TX 75126
Phone (972) 564-4444

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

850 Ed Hall Dr
Kaufman, TX 75142
Phone (972) 932-5555

2400 N Stallings Dr
Ste 405
Nacogdoches, TX 75964

100 Park Rd
Nocona, TX 76255
Phone (940) 825-3235

90 Park Rd
Nocona, TX 76255
Phone (940) 825-3333

901 W Hamilton St
Olney, TX 76374
Phone (940) 564-3546

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

1402 Medical Dr
Sulphur Springs, TX 75482
Phone (903) 557-5661

4000 Old Jacksboro Hwy
Wichita Falls, TX 76302
Phone (940) 239-9136

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1912099177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650426",
            "telephone_number": "972-663-8523",
            "fax_number": "972-663-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD",
            "address_2": "STE 1000W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-663-8523",
            "fax_number": "972-663-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCKE",
        "first_name": "AMANDA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "072225",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "746485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188315902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00719271",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052245",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89588U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.