PALO DURO ANESTHESIA PLLC
NPI 1750916169
Nurse Anesthetist, Certified Registered in Amarillo, TX

Active since March 05, 2020
1900 MEDI PARK DR, AMARILLO, TX 79106(806) 355-9447 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palo Duro Anesthesia Pllc NPPES

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

PALO DURO ANESTHESIA PLLC (NPI 1750916169) is a healthcare organization registered as a nurse anesthetist, certified registered in Amarillo, Texas and active in the NPI registry since March 2020. The organization lists Jeffery M Green, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1750916169
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePALO DURO ANESTHESIA PLLC
Location Address1900 MEDI PARK DRAmarillo, TX 79106-2187
Mailing Address211 Aoudad Ranch TrlAmarillo, TX 79118-1441 · (806) 206-6942
Organization SubpartNo
Authorized OfficialJeffery M GreenPresident/ceo · (806) 206-6942
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1750916169 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
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.
1900 MEDI PARK DR, Amarillo, TX 79106

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palo Duro Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Palo Duro Anesthesia PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1407141443
6010 W AMARILLO BLVD
Amarillo, TX 79106
(806) 355-7903
✔ Accepts Medicare0.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205188372
6819 PLUM CREEK DR
Amarillo, TX 79124
(806) 355-9595
✔ Accepts Medicare1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023516515
6819 PLUM CREEK DR
Amarillo, TX 79124
(806) 354-6100
1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689385411
2220 CANTERBURY DR
Hays, KS 67601
(785) 623-5096
✔ Accepts Medicare293 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1942587563
6606 LBJ FWY STE 200
Dallas, TX 75240
(972) 715-5000
✔ Accepts Medicare333 mi

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 Palo Duro Anesthesia PLLC's NPI number?

The NPI number for Palo Duro Anesthesia PLLC is 1750916169. It was assigned to this organization in the NPPES registry on March 5, 2020.

Where is Palo Duro Anesthesia PLLC located?

Palo Duro Anesthesia PLLC is located at 1900 Medi Park Dr, Amarillo, TX 79106. The listed phone number is (806) 355-9447.

What is Palo Duro Anesthesia PLLC's specialty?

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

Is Palo Duro Anesthesia PLLC enrolled in Medicare?

Yes. Palo Duro Anesthesia PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palo Duro Anesthesia PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Palo Duro 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, 3 practice 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 Palo Duro Anesthesia PLLC was last updated on March 5, 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.