Individual provider Active NPI

Randall Garth Hoeppner, CRNA-CRNP-FNP

  • Certified Registered Nurse Anesthetist
  • San Angelo, TX
National Provider Identifier
1952340879
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP120000 Issued in TX
Practice address
120 E Harris Ave
San Angelo, TX 76903-5904
Phone
(325) 653-6741
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 274453-L PA
Family Nurse Practitioner 363LF0000X SP006471B PA
Certified Registered Nurse Anesthetist 367500000X 40492 PA
Certified Registered Nurse Anesthetist 367500000X AP120000 TX Primary

Addresses

Primary practice location

120 E Harris Ave
San Angelo, TX 76903-5904

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, AK, NM4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110421000806 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113905647 Reassigns benefits to 3 organizations
I20140317000052 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113905647 Reassigns benefits to 1 organization
I20160706000641 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113905647 Reassigns benefits to 2 organizations
I20231026002661 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113905647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9436067618, shared by 5 NPIs, 71 clinicians

Practice addresses (Care Compare)

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 274453-LPAMDRegistered Nurse
SP006471BPAMDFamily Nurse Practitioner
40492PAMDCertified Registered Nurse Anesthetist
AP120000TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 11, 2020 Accepting new patients
Peacehealth Nurse Anesthetist, Certified Registered CurrentSince Aug 8, 2016 Accepting new patients
Carlsbad Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2014 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Peacehealth Current Accepting new patients
Hazleton Anesthesia Services, P.C. CurrentSince Jan 1, 2014 Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients
Laurel Management Services Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

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

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

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

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Organizations & group practices 11

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1952340879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-658-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035904",
            "telephone_number": "325-653-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEPPNER",
        "first_name": "RANDALL",
        "middle_name": "GARTH",
        "name_prefix": "Mr.",
        "credential": "CRNA-CRNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-05-30",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN 274453-L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP006471B",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "40492",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP120000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.