Individual ProviderIlene Julie McgarrigleNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019(512) 454-2454PECOS EnrollmentBased on the most recent information from CMS, provider Ilene Julie Mcgarrigle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154304517Provider TypeIndividualFull NameMcgarrigle, Ilene JulieCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date11/21/2005Last Updated8/9/2021Contact InformationPractice LocationPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019Phone(512) 454-2454Fax(512) 454-1532Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(512) 454-2454Fax(512) 454-1532Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense32767TexasCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP101881TexasProvider IdentifiersIDDescriptionIssuerID80227CDescriptionOtherIssuerBC/BSTexasID2167701DescriptionMedicaidIssuerUnlistedTexas