AGAPE ANESTHESIA CRNA, PLLC – Certified Registered Nurse Anesthetist, NPI 1346871480
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AGAPE ANESTHESIA CRNA, PLLC
1540 KELLER PKWY STE 108-429
KELLER, TX 762484601
Phone: (972) 533-0098
Type: Mailing
4036 BURWOOD DR
ROANOKE, TX 762623356
Phone: (972) 533-0098
Type: Mailing
1615 LANCASTER DR STE 150
GRAPEVINE, TX 760512111
Phone: (817) 421-0279
Type: Location
12222 N CENTRAL EXPY
DALLAS, TX 752433755
Phone: (972) 972-4851
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (221 days ago).
Enrollment records
2
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200310000115 | O | Clinic/Group Practice | TX | 2025-10-31 |
| O20220502000777 | O | Clinic/Group Practice | OK | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76248)
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