ACCORD ANESTHESIA PLLC – Certified Registered Nurse Anesthetist, NPI 1366976441
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ACCORD ANESTHESIA PLLC
PO BOX 2626
FORT WORTH, TX 761132626
Phone: (817) 294-7444
Fax: (817) 294-7172
Type: Mailing
5744 Lyndon B Johnson Fwy Ste 200
Dallas, TX 752406311
Phone: (214) 273-2648
Fax: (214) 307-6057
Type: Location
3055 Bardin Rd Ste 400
Grand Prairie, TX 750523819
Phone: (214) 412-1500
Fax: (214) 466-1045
Type: Location
182 INDUSTRIAL RD
GLEN ROCK, PA 173272626
Phone: (717) 759-4375
Fax: (717) 759-4336
Type: Mailing
7200, Oakmont Boulevard, Fort Worth, Tarrant County, Texas, 76132, United States
FORT WORTH, TX 761323902
Phone: (817) 732-3300
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: 2017-05-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (800 days ago).
Enrollment records
1
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20170523000720 | O | Clinic/Group Practice | TX | 2024-03-31 |
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 76113)
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