HAROLD RICHIE BANDALAN CRNA
NPI 1063594638
Nurse Anesthetist, Certified Registered in Tyler, TX

Active since October 20, 2006Accepts Medicare Assignment
1000 S BECKHAM AVE, TYLER, TX 75701(903) 526-1068(903) 593-4290 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Harold Richie Bandalan Crna NPPES

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

HAROLD RICHIE BANDALAN CRNA (NPI 1063594638) is an individual nurse anesthetist, certified registered in Tyler, Texas, licensed in Texas (671921) and active in the NPI registry since October 2006. He is affiliated with Mercy Hospital Springfield and is a graduate of Other (2000).

NPPES Registry Identity

NPI1063594638
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameHAROLD RICHIE BANDALANCredential: CRNA
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing AddressP.o. Box 8027Tyler, TX 75711-8027 · (903) 526-1068 · Fax (903) 593-4290
Fax(903) 593-4290
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 20, 2006
Last NPPES UpdateMay 1, 2013
✔ NPI 1063594638 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 · 671921
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.
1000 S BECKHAM AVE, Tyler, TX 75701

Other Identifiers 8

Medicaid141704006TX
Medicare PINTXB111815TX
OtherP00288096TX · Part B Railroad Medicare
Medicaid141704005TX
Medicare PINTXB112172TX
Other86184UTX · Bcbs Of Texas
Other8649UATX · Bcbs
Medicare PIN8F1919TX

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

Harold Richie Bandalan 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 ID4082636089
PECOS Enrollment IDI20160707002421

Medicare Billing Reassignments

2

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

Rural Health
92 MAIN ST
Cassville, MO 65625
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group
Anesthesiology
1000 E PRIMROSE ST STE 520
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 105 clinicians in this Medicare group

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 4

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 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.
44 services44 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
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.
15 services15 patients
Anesthesia for insertion of permanent heart pacemaker 00530
Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember 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.

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Practitioner (Acute Care)
1000 S BECKHAM AVE
TYLER, TX 75701
Student in an Organized Health Care Education/Training Program
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Practitioner (Family)
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Surgery (Trauma Surgery)
1000 S BECKHAM AVE
TYLER, TX 75701

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 Harold Bandalan's NPI number?

The NPI number for Harold Bandalan is 1063594638. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Harold Bandalan located?

Harold Bandalan practices at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 526-1068.

What is Harold Bandalan's specialty?

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

Is Harold Bandalan enrolled in Medicare?

Yes. Harold Bandalan 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 Harold Bandalan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harold Bandalan reassigns Medicare benefits to 2 organizations: Mercy Clinic Springfield Communities (Cassville, MO) and Ozark Anesthesia Associates, Inc. (Springfield, MO). 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 Harold Bandalan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Harold Bandalan affiliated with any hospitals?

According to CMS data, Harold Bandalan is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Harold Bandalan was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.