DR. KENTON WAYNE DUBOSE CRNA, DNP
NPI 1295124832
Nurse Anesthetist, Certified Registered in Dallas, TX

Active since January 20, 2015Accepts Medicare Assignment
6606 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75240(972) 233-1999 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenton Wayne Dubose Crna, Dnp NPPES

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

DR. KENTON WAYNE DUBOSE CRNA, DNP (NPI 1295124832) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (AP127231) and active in the NPI registry since January 2015. He maintains a secondary practice location in Fort Worth and is a graduate of Other (2014).

NPPES Registry Identity

NPI1295124832
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. KENTON WAYNE DUBOSECredential: CRNA, DNP
Location Address6606 LYNDON B JOHNSON FWY STE 200Dallas, TX 75240-6524
Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 233-1999 · Fax (972) 233-3666
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 20, 2015
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1295124832 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 · AP127231
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 LYNDON B JOHNSON FWY STE 200, Dallas, TX 75240

Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104 · Phone (817) 702-3431

Accepted 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

Dr. Kenton Wayne Dubose Crna, Dnp 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 ID4880910140
PECOS Enrollment IDI20150303001969

Medicare Billing Reassignments

7

Medicare enrollment records show Kenton Dubose reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
3509 SPECTRUM BLVD, SUITE B
Richardson, TX 75082
  • Reassigned Medicare billing, Texas enrollment
  • 130 clinicians in this Medicare group
Pain Medicine
1615 LANCASTER DR, STE #150
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Texas enrollment
  • 1,164 clinicians in this Medicare group
Anesthesiology
1403 DARTMOUTH DR
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 447 clinicians in this Medicare group
Anesthesiologist Assistant
781 LONESOME DOVE TRL STE A
Hurst, TX 76054
  • Reassigned Medicare billing, Texas enrollment
  • 24 clinicians in this Medicare group
Anesthesiology
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 509 clinicians in this Medicare group
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

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 2

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 injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
21 services21 patients
Anesthesia for other procedure on top of arm bone and shoulder joint 01630
Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
20 services20 patients

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.

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.

Anesthesiology
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240
Anesthesiology
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240
Anesthesiology
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240
Anesthesiology
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240

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 Kenton Dubose's NPI number?

The NPI number for Kenton Dubose is 1295124832. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Where is Kenton Dubose located?

Kenton Dubose practices at 6606 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75240. The listed phone number is (972) 233-1999.

What is Kenton Dubose's specialty?

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

Is Kenton Dubose enrolled in Medicare?

Yes. Kenton Dubose 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 Kenton Dubose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenton Dubose reassigns Medicare benefits to 7 organizations: Spine Team Texas, PA (Richardson, TX), Richard L. Vera MD, PA (Grapevine, TX), Northstar Anesthesia, PA (Arlington, TX), Texas Anesthesia Partners, PLLC (Southlake, TX), Synapse Anesthesia Services PLLC (Hurst, TX) and 2 more organizations, listed in the Medicare section above. 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 Kenton Dubose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenton Dubose accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Kenton Dubose 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.

When was this NPI record last updated?

The NPPES record for Kenton Dubose was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.