KANDACE NEWSOME O'TOOLE CRNA
NPI 1316291545
Nurse Anesthetist, Certified Registered in Dallas, TX

Active since November 09, 2012Accepts Medicare Assignment
93.5/100
CMS Quality Rating
12222 MERIT DR STE 600, DALLAS, TX 75251(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, Nov 20, 2025 (2 updates tracked since 2025).

About Kandace Newsome O'toole Crna NPPES

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

KANDACE NEWSOME O'TOOLE CRNA (NPI 1316291545) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (AP123066) and active in the NPI registry since November 2012. She is affiliated with Texas Health Hospital Frisco, maintains a secondary practice location in San Antonio, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1316291545
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKANDACE NEWSOME O'TOOLECredential: CRNA
Location Address12222 MERIT DR STE 600Dallas, TX 75251-3294
Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 715-5000 · Fax (972) 715-9976
Fax(972) 715-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 9, 2012
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1316291545 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 · AP123066
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.
12222 MERIT DR STE 600, Dallas, TX 75251

Secondary Practice Location 1

Location 110999 W Interstate 10 Ste 903San Antonio, TX 78230-1747 · Phone (972) 715-5000 · Fax (972) 663-8329

Other Identifiers 4

Medicaid312799502TX
OtherP01446504TX · Rr
Other8799UGTX · Bcbs
Medicaid200471880AOK

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

Kandace Newsome O'toole 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 ID1153576699
PECOS Enrollment IDI20130306000444

Medicare Billing Reassignments

7

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

Pain Medicine
17051 NORTH DALLAS PARKWAY, SUITE 300
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
Pain Medicine
4708 ALLIANCE BLVD STE 850
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 15 clinicians in this Medicare group
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
11801 SOUTH FWY
Burleson, TX 76028
  • Reassigned Medicare billing, Texas enrollment
  • 429 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.

Hospital Affiliations CMS Care Compare

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

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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.

Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251

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 Kandace O'toole's NPI number?

The NPI number for Kandace O'toole is 1316291545. It was assigned to this individual provider in the NPPES registry on November 9, 2012.

Where is Kandace O'toole located?

Kandace O'toole practices at 12222 Merit Dr Ste 600, Dallas, TX 75251. The listed phone number is (972) 715-5000.

What is Kandace O'toole's specialty?

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

Is Kandace O'toole enrolled in Medicare?

Yes. Kandace O'toole 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 Kandace O'toole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kandace O'toole reassigns Medicare benefits to 7 organizations: Interventional Spine And Pain, LLP (Addison, TX), Sterling Pain Medicine, P.A. (Plano, TX), Spine Team Texas, PA (Richardson, TX), Richard L. Vera MD, PA (Grapevine, TX), Northstar Anesthesia, PA (Arlington, 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 Kandace O'toole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kandace O'toole accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Kandace O'toole 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 Kandace O'toole affiliated with any hospitals?

According to CMS data, Kandace O'toole is affiliated with Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Kandace O'toole was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.