Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reid E Ivy, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1780224329

Reid E Ivy, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Worth, Texas. Qualified in 2019, 7 years ago. Practices with Northstar Anesthesia III PA, a 399-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
7
Licensed in
FL, TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9655 Boynton Beach Blvd, Boynton Beach, FL 33472-4421 — (561) 336-7000
  • 2104 Georgetown Blvd, Prosper, TX 75078-2081 — (903) 705-8117

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP144541 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APRN11019269 (FL)

Record details

NPI number1780224329
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 12, 2020
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northstar Anesthesia Iii Pa — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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