CLEARWATER ANESTHESIA PLLC
NPI 1538170485
Nurse Anesthetist, Certified Registered in Fort Worth, TX
About Clearwater Anesthesia Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEARWATER ANESTHESIA PLLC (NPI 1538170485) is a healthcare organization registered as a nurse anesthetist, certified registered in Fort Worth, Texas and active in the NPI registry since August 2006. The organization lists Jeff T Weertman, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clearwater Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Clearwater Anesthesia PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clearwater Anesthesia PLLC's NPI number?
The NPI number for Clearwater Anesthesia PLLC is 1538170485. It was assigned to this organization in the NPPES registry on August 10, 2006.
Where is Clearwater Anesthesia PLLC located?
Clearwater Anesthesia PLLC is located at 6551 Harris Pkwy Suite 100, Fort Worth, TX 76132. The listed phone number is (817) 346-3800.
What is Clearwater Anesthesia PLLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Clearwater Anesthesia PLLC enrolled in Medicare?
Yes. Clearwater Anesthesia PLLC is registered in the Medicare PECOS enrollment system.
When is Clearwater Anesthesia PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Clearwater Anesthesia PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Clearwater Anesthesia PLLC. A 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 the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clearwater Anesthesia PLLC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Clearwater Anesthesia Pllc · NPI 1538170485
Nurse Anesthetist, Certified Registered organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1538170485 (Entity type: Organization)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Jeff Weertman, MANAGER
## Practice location
- **Address:** 6551 HARRIS PKWY, SUITE 100, Fort Worth, TX 76132-6103
- **Phone:** (817) 346-3800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1538170485) · Data from the CMS NPPES public registry.