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JONATHAN BLACKMORE PHILLIPS CRNA
NPI 1023362407
Nurse Anesthetist, Certified Registered in Dallas, TX

Active since November 06, 2012Accepts Medicare Assignment
93.5/100
CMS Quality Rating
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Blackmore Phillips Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BLACKMORE PHILLIPS CRNA (NPI 1023362407) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (779588) and active in the NPI registry since November 2012. He is affiliated with Lake Granbury Medical Center and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023362407
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJONATHAN BLACKMORE PHILLIPSCredential: CRNA
Location Address6606 LBJ FWY, SUITE 200Dallas, TX 75240-6533
Mailing AddressPo Box 650865Dallas, TX 75265-0865 · (972) 715-5000 · Fax (972) 715-9976
Phone(972) 715-5000
Fax(972) 715-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 6, 2012
Last NPPES UpdateNovember 9, 2015
✔ NPI 1023362407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 779588
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6606 LBJ FWY, Dallas, TX 75240
Open in Google Maps ↗

Other Identifiers 4

Other8787UGTX · Bcbs
OtherP01338239TX · Rr
Medicare PIN266964YK6UTX
Medicaid312949602TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Blackmore Phillips Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032364054
PECOS Enrollment IDI20130223000075

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northstar Anesthesia, PA
20 mi
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Texas enrollment
  • 1,164 clinicians in this Medicare group
NPI 1912978610 (817) 861-3994
Emergenchealth PLLC
39 mi
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
NPI 1467970897 (972) 861-1270

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
19 services19 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
17 services17 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Granbury Medical Center

Acute Care Hospitals · Granbury, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450596
Location1310 Paluxy RdGranbury, TX 76048 · Hood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM PEEPLES CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000
JEANNIE K MURPHY CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000
MARSHALL ANDERSEN CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Dallas County (972) 715-5000
JORGE AVILA-HERNANDEZ MD
Anesthesiology
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Dallas County (972) 715-5000
WARREN CUSICK CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Dallas County (972) 715-5000
DR. SHANON M. COOKE MD
Anesthesiology
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000
RONALD PRESTAGE CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000
JESSICA BASILE CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Phillips's NPI number?

The NPI number for Jonathan Phillips is 1023362407. It was assigned to this individual provider in the NPPES registry on November 6, 2012.

Where is Jonathan Phillips located?

Jonathan Phillips practices at 6606 Lbj Fwy Suite 200, Dallas, TX 75240. The listed phone number is (972) 715-5000.

What is Jonathan Phillips's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jonathan Phillips enrolled in Medicare?

Yes. Jonathan Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jonathan Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Phillips reassigns Medicare benefits to 2 organizations: Northstar Anesthesia, PA (Arlington, TX) and Emergenchealth PLLC (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Phillips accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jonathan Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Phillips affiliated with any hospitals?

According to CMS data, Jonathan Phillips is affiliated with Lake Granbury Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Phillips was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.