Individual provider Active NPI

Cai Erik Nielsen, CRNA

  • Certified Registered Nurse Anesthetist
  • Weatherford, TX
National Provider Identifier
1932178175
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
702217 Issued in TX
Practice address
713 E Anderson St
Weatherford, TX 76086-5705
Phone
(682) 582-1000
Fax
(817) 599-4902
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA3053 CA
Certified Registered Nurse Anesthetist 367500000X RN545910 CA
Certified Registered Nurse Anesthetist 367500000X CRNA3053 CA
Certified Registered Nurse Anesthetist 367500000X 702217 TX Primary

Addresses

Primary practice location

713 E Anderson St
Weatherford, TX 76086-5705

Mailing address

907 Eureka St
Ste B
Weatherford, TX 76086-5880
Phone (817) 598-9328

Other identifiers 2

IdentifierTypeStateIssuer
RN5459100MedicaidCA
165014504MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001547 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466435961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NTX Anesthesiology Consultants PLLCGroup PAC ID 7416203773, 115 clinicians

Practice addresses (Care Compare)

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (972) 422-5941

Hospital & facility affiliations

  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA3053CAMDCertified Registered Nurse Anesthetist
NA3053CAMDCertified Registered Nurse Anesthetist
RN545910CAMDCertified Registered Nurse Anesthetist
702217TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
NTX Anesthesiology Consultants PLLC CurrentSince Aug 24, 2022 Accepting new patients

Locations

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 1

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.

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1932178175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EUREKA ST",
            "address_2": "STE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865880",
            "telephone_number": "817-598-9328",
            "fax_number": "817-599-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E ANDERSON ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865705",
            "telephone_number": "682-582-1000",
            "fax_number": "817-599-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "CAI",
        "middle_name": "ERIK",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA3053",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "RN545910",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "CRNA3053",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "702217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN5459100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165014504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.