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JAMES T PAPESCA CRNA
NPI 1144209370
Nurse Anesthetist, Certified Registered in Kerrville, TX

Active since January 16, 2006Accepts Medicare Assignment
420 WATER ST STE 105B, KERRVILLE, TX 78028(830) 896-1344 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James T Papesca Crna NPPES

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

JAMES T PAPESCA CRNA (NPI 1144209370) is an individual nurse anesthetist, certified registered in Kerrville, Texas, licensed in Tennessee (74918) and active in the NPI registry since January 2006. He is affiliated with Reeves County Hospital District and is a graduate of Other (2005).

NPPES Registry Identity

NPI1144209370
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJAMES T PAPESCACredential: CRNA
Location Address420 WATER ST STE 105BKerrville, TX 78028-5200
Mailing Address420 Water St Ste 105bKerrville, TX 78028-5200 · (830) 896-1344
Phone(830) 896-1344
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 16, 2006
Last NPPES UpdateMay 21, 2013
✔ NPI 1144209370 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 TN · 74918
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.
420 WATER ST STE 105B, Kerrville, TX 78028
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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

James T Papesca 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 ID7517976756
PECOS Enrollment IDI20130628000007

Medicare Billing Reassignments

5

Medicare enrollment records show James Papesca reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alamo Sedation Associates, PLLC
50 mi
Nurse Anesthetist, Certified Registered
8550 DATAPOINT DR STE 100
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 24 clinicians in this Medicare group
NPI 1851810410 (210) 615-7232
U. S. Anesthesia Partners Of Texas, P.A.,
216 mi
Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group
NPI 1548208564 (877) 361-1809
Champion Anesthesia Consultants, PLLC
233 mi
Anesthesiology
421 E STATE HIGHWAY 114
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 195 clinicians in this Medicare group
NPI 1649676024 (817) 865-4516
Reeves County Hospital District
281 mi
Family Medicine
2349 MEDICAL DRIVE
Pecos, TX 79772
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1447417209 (432) 447-0565
Anesthesia Dynamics LLC
1,020 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Texas enrollment
  • 195 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642

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 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.
31 services31 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
25 services25 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.
21 services21 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Reeves County Hospital District

Critical Access Hospitals · Pecos, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451377
Location2349 Medical DrivePecos, TX 79772 · Reeves County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78028 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.

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 James Papesca's NPI number?

The NPI number for James Papesca is 1144209370. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is James Papesca located?

James Papesca practices at 420 Water St Ste 105B, Kerrville, TX 78028. The listed phone number is (830) 896-1344.

What is James Papesca's specialty?

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

Is James Papesca enrolled in Medicare?

Yes. James Papesca 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 James Papesca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Papesca reassigns Medicare benefits to 5 organizations: Alamo Sedation Associates, PLLC (San Antonio, TX), U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX), Champion Anesthesia Consultants, PLLC (Southlake, TX), Reeves County Hospital District (Pecos, TX) and Anesthesia Dynamics LLC (Bradenton, FL). 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 James Papesca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Papesca 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 2 other insurers list James Papesca 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 James Papesca affiliated with any hospitals?

According to CMS data, James Papesca is affiliated with Reeves County Hospital District.

When was this NPI record last updated?

The NPPES record for James Papesca was last updated on May 21, 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.