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

Individual provider Certified Registered Nurse Anesthetist · NPI 1689618787

Roman Shawn Bagwell, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2002, 24 years ago. Practices with Mother Frances Hospital Jacksonville, a 31-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Licensed in
TX
In the registry since
2006
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

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 531-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 727514 (TX)

Record details

NPI number1689618787
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESDecember 8, 2014

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mother Frances Hospital Jacksonville — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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