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

Q: 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.

Q: What is Kenton Dubose's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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

Phone(972) 233-1999

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

Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

Leave this field empty

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.

DR. JEFFREY WARDE JORDAN MD

Anesthesiology