THERESA ANN SOTO CRNA
NPI 1568630002
Nurse Anesthetist, Certified Registered in Marble Falls, TX
About Theresa Ann Soto Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA ANN SOTO CRNA (NPI 1568630002) is an individual nurse anesthetist, certified registered in Marble Falls, Texas, licensed in Texas (AP120565) and active in the NPI registry since February 2008. She is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Theresa Ann Soto 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Soto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lampasas, TX 76550
- Reassigned Medicare billing, Texas enrollment
- 100 clinicians in this Medicare group
Mcallen, TX 78503
- Reassigned Medicare billing, Texas enrollment
- 300 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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MARBLE FALLS, TX 78654
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 Theresa Soto's NPI number?
The NPI number for Theresa Soto is 1568630002. It was assigned to this individual provider in the NPPES registry on February 19, 2008.
Where is Theresa Soto located?
Theresa Soto practices at 810 W Highway 71, Marble Falls, TX 78654. The listed phone number is (830) 201-8000.
What is Theresa Soto's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Theresa Soto enrolled in Medicare?
Yes. Theresa Soto 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 Theresa Soto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Soto reassigns Medicare benefits to 2 organizations: Mark Malone MD PA (Lampasas, TX) and Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia LLC (Mcallen, 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 Theresa Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Soto accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Theresa Soto 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 Theresa Soto was last updated on October 30, 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.
# Theresa Ann Soto, CRNA · NPI 1568630002
Nurse Anesthetist, Certified Registered physician in Marble Falls, Texas. Individual provider, active in the CMS NPPES registry since February 19, 2008.
## Identity
- **NPI:** 1568630002 (Entity type: Individual)
- **Enumerated:** February 19, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP120565 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 810 W HIGHWAY 71, Marble Falls, TX 78654-8602
- **Phone:** (830) 201-8000 · **Fax:** (830) 201-8008
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mark Malone MD PA (NPI 1215758024, Lampasas, TX); Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia LLC (NPI 1346570355, Mcallen, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 30, 2020
- **Other identifiers:** Other G4512 (FL); Medicaid 308983500 (FL); Other P00712337
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Source: [NPI Profile](https://npiprofile.com/npi/1568630002) · Data from the CMS NPPES public registry.