Individual provider Active NPI

Marissa Williams

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1992295737
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP140647 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-8862
Phone
(254) 724-1111
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 AP140647 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-8862

Mailing address

200 Maroon LN
Kyle, TX 78640-2394
Phone (860) 912-8289

Other practice location 1

8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862
Phone (860) 912-8289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190315002075 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547500266 Reassigns benefits to 4 organizations
I20250609000221 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547500266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celebrity Anesthesia PLLCGroup PAC ID 8325467608, 23 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

5329 Serene Hills Dr
Suite 100
Austin, TX 78738-1257
Phone (512) 593-1945

901 W Ben White Blvd
South Austin Hospital
Austin, TX 78704-6999
Phone (512) 447-2211

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001262813VAMDRegistered Nurse
AP140647TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2019 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2023 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Feb 14, 2019 Accepting new patients
North Charleston Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2025 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Celebrity Anesthesia PLLC CurrentSince Dec 1, 2024 Accepting new patients
PPCP Endoscopy LLC PastSince Jun 4, 2023 Accepting new patients

Locations (25 of 27)

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

1235 Nexton Pkwy
Bldg 4
Summerville, SC 29486
Phone (843) 814-8486

1235 Nexton Pkwy
Summerville, SC 29486
Phone (843) 459-8400

1111 W 34th St
Austin, TX 78705
Phone (512) 343-2466

8140 N Mopac Expy
Ste 3210
Austin, TX 78759
Phone (512) 343-2292

12200 Renfert Way
Ste G-2
Austin, TX 78758
Phone (512) 901-8340

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000

2200 Park Bend Dr
Bldg 3
Austin, TX 78758
Phone (512) 730-0471

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

8140 N Mopac Expy
#3
Austin, TX 78759
Phone (512) 343-2292

900 W 38th St
Ste 200
Austin, TX 78705
Phone (512) 323-2061

911 W 38th St
Ste 400
Austin, TX 78705
Phone (512) 553-1700

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005

8140 N Mopac Expy
Ste 3-210
Austin, TX 78759
Phone (512) 343-2292

3944 Ranch Road 620 S
Ste 103
Bee Cave, TX 78738
Phone (512) 371-1519

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

5329 Serene Hills Dr
Ste 100
Lakeway, TX 78738
Phone (512) 357-8220

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

16030 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 246-8777

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 2

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1992295737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAROON LN",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402394",
            "telephone_number": "860-912-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765088862",
            "telephone_number": "254-724-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 N Mopac Expy Ste 3-210",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598862",
            "country_code": "US",
            "telephone_number": "860-912-8289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.