MELISSA BAUMGARDNER CRNA
NPI 1467476424
Nurse Anesthetist, Certified Registered in Mt Pleasant, TX

Active since July 26, 2006Accepts Medicare Assignment
83.06/100
CMS Quality Rating
2001 N JEFFERSON AVE, MT PLEASANT, TX 75455(903) 577-6000 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melissa Baumgardner Crna NPPES

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

MELISSA BAUMGARDNER CRNA (NPI 1467476424) is an individual nurse anesthetist, certified registered in Mt Pleasant, Texas, licensed in Texas (521468) and active in the NPI registry since July 2006. She is affiliated with Christus Mother Frances Hospital, maintains a secondary practice location in Texarkana, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1467476424
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMELISSA BAUMGARDNERCredential: CRNA
Location Address2001 N JEFFERSON AVEMt Pleasant, TX 75455-2371
Mailing Address464 County Road 1125Maud, TX 75567-2610 · (903) 585-3065
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1467476424 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 · 521468
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.
2001 N JEFFERSON AVE, Mt Pleasant, TX 75455

Secondary Practice Location 1

Location 12602 Saint Michael Dr Ste 301Texarkana, TX 75503-5206 · Phone (903) 614-5258

Other Identifiers 2

Medicaid002878907TX
Other85909UTX · Bcbstx

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

Melissa Baumgardner 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 ID6507849031
PECOS Enrollment IDI20040608000121

Medicare Billing Reassignments

4

Medicare enrollment records show Melissa Baumgardner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1007 S WILLIAM ST
Atlanta, TX 75551
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
Specialist
1920 MOORES LN, SUITE A
Texarkana, TX 75503
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 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

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 3

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 upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
11 services11 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75455 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.

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.

83.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.07
Improvement Activities40

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.

Pediatrics
2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455
Nurse Practitioner (Pediatrics)
2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455
Nurse Practitioner (Family)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Internal Medicine (Nephrology)
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455
Clinic/Center (Multi-Specialty)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Ambulance (Land Transport)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Anesthesiology
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455
Psychiatric Unit
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

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 Melissa Baumgardner's NPI number?

The NPI number for Melissa Baumgardner is 1467476424. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Melissa Baumgardner located?

Melissa Baumgardner practices at 2001 N Jefferson Ave, Mt Pleasant, TX 75455. The listed phone number is (903) 577-6000.

What is Melissa Baumgardner's specialty?

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

Is Melissa Baumgardner enrolled in Medicare?

Yes. Melissa Baumgardner 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 Melissa Baumgardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Baumgardner reassigns Medicare benefits to 4 organizations: Christus Health Ark-La-Tex (Atlanta, TX), Texarkana Gastroenterology Consultants, PA (Texarkana, TX), Christus Trinity Clinic Texas (Tyler, TX) and Northstar Anesthesia, PA (Arlington, TX). 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 Melissa Baumgardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Baumgardner accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Melissa Baumgardner 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 Melissa Baumgardner affiliated with any hospitals?

According to CMS data, Melissa Baumgardner is affiliated with Christus Mother Frances Hospital and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Melissa Baumgardner was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.