Individual provider Active NPI

Kelly James Yarbro, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, TX
National Provider Identifier
1972541571
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
441721 Issued in TX
Practice address
4519 N Garfield St Ste 15
Midland, TX 79705-3400
Phone
(432) 699-0306
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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 441721 TX Primary

Addresses

Primary practice location

4519 N Garfield St Ste 15
Midland, TX 79705-3400

Mailing address

PO Box 4157
Midland, TX 79704
Phone (432) 699-0306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000459 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406895895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medical Group of the Permian Basin, LLPGroup PAC ID 6901999176, 48 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111

5609 Deauville
Midland, TX 79706-2870
Phone (432) 699-4224

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
441721TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group of the Permian Basin, LLP CurrentSince Feb 1, 2008 Accepting new patients
Roswell Clinic Corp Past Accepting new patients

Locations

4519 N Garfield St
Ste 15
Midland, TX 79705
Phone (432) 699-0225

5609 Deauville
Midland, TX 79706
Phone (432) 697-3629

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

Organizations & group practices 2

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1972541571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4157",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79704",
            "telephone_number": "432-699-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 N GARFIELD ST STE 15",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053400",
            "telephone_number": "432-699-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBRO",
        "first_name": "KELLY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "441721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.