Individual provider Active NPI

Robert R McMinn Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Nacogdoches, TX
National Provider Identifier
1942264908
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
511503 Issued in TX
Practice address
5300 North St
Nacogdoches, TX 75965-1370
Phone
(936) 687-3242
Fax
(936) 687-3242
NPI assigned
Apr 14, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 511503 TX Primary

Addresses

Primary practice location

5300 North St
Nacogdoches, TX 75965-1370

Mailing address

27319 Saxon Meadow LN
Cypress, TX 77433-3803
Phone (832) 265-3901

Other identifiers 1

IdentifierTypeStateIssuer
119947305MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041023000247 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214998186 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Group Anesthesia PLLCGroup PAC ID 6204266489, 19 clinicians
Dynamic Anesthesia Providers, PLLCGroup PAC ID 0547529596, 112 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

1259 FM 1463 Rd
Suite 500
Katy, TX 77494-5480
Phone (361) 237-1072

26710 Interstate 45
Suite B100
Spring, TX 77386-1019
Phone (281) 419-1117

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36065TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 1999 Accepting new patients
Dynamic Anesthesia Providers PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2024 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2024 Accepting new patients
Southern Group Anesthesia PLLC CurrentSince Aug 18, 2025 Accepting new patients
Anesthesia Providers of East Texas, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Dreamworks Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients
Anderson County Anesthesia Associates, PA Past Accepting new patients
Thomas Arthur Halling Past Accepting new patients
Memorial Medical Center of East Texas Past Accepting new patients

Locations

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

1631 North Loop W
Ste 300
Houston, TX 77008
Phone (713) 343-1080

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

7789 Southwest Fwy
Ste 200
Houston, TX 77074
Phone (713) 343-3100

1259 FM 1463 Rd
Ste 500
Katy, TX 77494
Phone (361) 237-1072

801 FM 1463 Rd
Ste 200
Katy, TX 77494
Phone (281) 562-9553

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

5300 North St
Nacogdoches, TX 75965
Phone (936) 569-8278

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

26710 N Freeway
Ste B100
The Woodlands, TX 77386
Phone (281) 369-9001

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1942264908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27319 SAXON MEADOW LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333803",
            "telephone_number": "832-265-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651370",
            "telephone_number": "936-687-3242",
            "fax_number": "936-687-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMINN",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "511503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119947305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.