Individual provider Active NPI

Jeanine Marie Lagoda, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1962400069
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
615226 Issued in TX
Practice address
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone
(214) 648-7838
Fax
(214) 648-5461
NPI assigned
Jul 12, 2005
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 615226 TX Primary

Addresses

Primary practice location

6201 Harry Hines Blvd
Dallas, TX 75235-5202

Mailing address

2411 Fountain View Dr.
Ste. 200
Houston, TX 77057-4817
Phone (713) 620-4000

Other identifiers 2

IdentifierTypeStateIssuer
P01095287OtherTXRAILROAD MEDICARE
8164UBOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Jeanine Marie Larson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001448 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294719902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Partners of America Crna Operations LLCGroup PAC ID 8022239722, 44 clinicians

Practice addresses (Care Compare)

1717 Precinct Line Rd
Suite 101
Hurst, TX 76054-3169
Phone (817) 369-3995

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48495TXMDPharmacist
615226TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group PLLC CurrentSince Mar 1, 2023 Accepting new patients
Texas Pain Relief Group, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Physician Partners of America Crna Operations LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2014 Accepting new patients
Baylor College of Medicine Past Accepting new patients
John G. Baerenstecher MD Past Accepting new patients
Jerome R Elk, MD Past Accepting new patients
J Rael Elk, MD Past Accepting new patients
Scott W. Duncan, MD Past Accepting new patients
Curtis David Warrington MD PA Past Accepting new patients
Douglas J. Hirsch, MD, PA Past Accepting new patients
Laurence Kam MD Past Accepting new patients

Locations

504 N Reo St
Tampa, FL 33609
Phone (813) 319-0911

3900 Junius St
Ste 705
Dallas, TX 75246
Phone (214) 820-9520

1717 Precinct Line Rd
Hurst, TX 76054
Phone (214) 455-2420

1717 Precinct Line Rd
Ste 101
Hurst, TX 76054
Phone (817) 369-3995

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

5055 W Park Blvd
Ste 800
Plano, TX 75093
Phone (214) 299-7010

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, 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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1962400069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR.",
            "address_2": "STE. 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355202",
            "telephone_number": "214-648-7838",
            "fax_number": "214-648-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGODA",
        "first_name": "JEANINE",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "615226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01095287",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8164UB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "LARSON",
            "middle_name": "MARIE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 30, 2026; 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.