Noelle Appel
NPI 1184082075ActiveIndividual· Nurse Anesthetist, Certified Registered· Waco, TX
Nurse Anesthetist, Certified Registered with Guide Anesthesia Tx PLLC and 3 other groups, practicing in Waco, Texas. Medicare paid $27,804 for services to 214 patients in 2024. Medtronic, Inc. was the largest of 5 companies reporting payments in 2025, $304.03 in all, mostly food and beverage.
Overview
| NPI | 1184082075 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 5, 2016 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | AP130198 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 214 |
|---|---|
| Services billed | 363 across 13 procedure codes |
| Paid by Medicare | $27,804 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Guide Anesthesia Tx PLLCEl Paso, TX · 34 clinicians
- Spine Team Texas PASouthlake, TX · 27 clinicians
- Dfw Oba PLLCFlower Mound, TX · 24 clinicians
- Texas Gastroenterology Center PLLCPlano, TX · 4 clinicians
Industry payments (Open Payments)
- 2025$304.03 · 7 payments from 5 companies
- 2024$241.24 · 12 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $180.41 | 2 |
| Boston Scientific Corporation | $53.57 | 2 |
| Averitas Pharma Inc. | $31.72 | 1 |
| Vertex Pharmaceuticals Incorporated | $19.85 | 1 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $18.48 | 1 |
What the 2025 payments were for
- Food and Beverage$304.03 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Anesthetist, Certified Registered providers in Waco
- 1073806360
- 1003917311
- 1891911350
- 1891932984
- 1881708105
- 1184738452
- 1124122262
- 1609980820
- 1598901241
- 1174055917
- 1255169975
- 1760519078
All Nurse Anesthetist, Certified Registered providers in Texas →