Individual provider Active NPI

Benson Nfon Tanjong, NURSE ANESTHETIST

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1982395372
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1112058 Issued in TX
Practice address
2001 N Oregon St
El Paso, TX 79902-3320
Phone
(915) 577-6011
NPI assigned
May 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NUR-RN-LIC-131754 MT
Certified Registered Nurse Anesthetist 367500000X 1112058 TX Primary

Addresses

Primary practice location

2001 N Oregon St
El Paso, TX 79902-3320

Mailing address

2930 N Stanton St
El Paso, TX 79902-2511
Phone (915) 271-4570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023002884 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719333020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noble Anesthesia Partners PLLCGroup PAC ID 9234303165, 44 clinicians

Practice addresses (Care Compare)

1620 N Mesa St
El Paso, TX 79902-3550
Phone (855) 677-8669

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-2800

Hospital & facility affiliations

  • University Medical Center Hospital, Lubbock, TX, CCN 450686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-131754MTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2024 Accepting new patients
Noble Anesthesia Partners, PLLC CurrentSince Sep 12, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

3909 N Mesa St
Ste 100
El Paso, TX 79902
Phone (915) 532-2222

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Organizations & group practices 7

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 5

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1982395372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022511",
            "telephone_number": "915-271-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023320",
            "telephone_number": "915-577-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANJONG",
        "first_name": "BENSON NFON",
        "credential": "NURSE ANESTHETIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "NUR-RN-LIC-131754",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1112058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

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