Active NPI
Jennifer Leigh Fleck, CRNA
- Certified Registered Nurse Anesthetist
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 83338
- Practice address
- 3650 W Rock Creek Rd
Suite 100
Norman, OK 73072-2202 - Phone
- (405) 701-3418
- Fax
- (405) 701-3451
- NPI assigned
- Jan 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 83338 | OK | Primary |
Addresses
Primary practice location
3650 W Rock Creek Rd
Suite 100
Norman, OK 73072-2202
Mailing address
3650 W Rock Creek Rd
Suite 100
Norman, OK 73072-2202
Phone (405) 701-3418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200272880A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100422001070 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961539952 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Anthony Shawnee Hospital IncHpi Physicians LLCNorman Anesthesia Providers, P.C.
Practice addresses (Care Compare)
1102 W Macarthur St
Shawnee, OK 74804-1743
Phone (405) 878-8110
1705 S Renaissance Blvd
Suite 120
Edmond, OK 73013-3043
Phone (405) 715-4496
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000
901 N Porter Ave
Norman, OK 73071-6404
Phone (405) 307-1000
9800 Broadway Ext
Suite 204
Oklahoma City, OK 73114-6303
Phone (405) 419-5926
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Shawnee
- Community Hospital, LLC
- Norman Regional
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.2 of 100
- Quality
- 93.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 93.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Anthony Shawnee Hospital, Inc. | Current | Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Current | Accepting new patients | |
| Norman Anesthesia Providers, P.C. | Current | Accepting new patients | |
| Hpi Physicians LLC | Current | Accepting new patients |
Locations
7106 Solutions Ctr
Chicago, IL 60677
1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496
3121 S Telephone Rd
Moore, OK 73160
Phone (405) 321-0370
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
3400 W Tecumseh Rd
Ste 301
Norman, OK 73072
Phone (405) 364-6764
3650 W Rock Creek Rd
#100
Norman, OK 73072
Phone (405) 701-3418
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Shawnee, OK
- NPI 1912739020
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1013247378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 W ROCK CREEK RD",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722202",
"telephone_number": "405-701-3418",
"fax_number": "405-701-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 W ROCK CREEK RD",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722202",
"telephone_number": "405-701-3418",
"fax_number": "405-701-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECK",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-09",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "83338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200272880A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.