Genesis Anesthesia, PLLC
NPI 1174974133ActiveOrganization· Nurse Anesthetist, Certified Registered· Kaufman, TX
Nurse Anesthetist, Certified Registered in Kaufman, Texas, registered in NPPES in June 2016. The authorized official on file is Theodoor Christiaan Hancke, CRNA, Group President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174974133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2016 |
| Last updated in NPPES | Jun 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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