Individual provider Active NPI

Jennifer Leigh Fleck, CRNA

  • Certified Registered Nurse Anesthetist
  • Norman, OK
National Provider Identifier
1013247378
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
83338 Issued in OK
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

Updated by the provider on Apr 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200272880AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc 15 clinicians
Hpi Physicians LLC 48 clinicians
Norman Anesthesia Providers, P.C. 35 clinicians

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 Hospital, Shawnee, OK, CCN 370149
  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
  • Norman Regional Hospital, Norman, OK, CCN 370008

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
St. Anthony Shawnee Hospital, Inc. CurrentSince Mar 3, 2018 Accepting new patients
St Anthony Shawnee Hospital Inc CurrentSince Mar 3, 2018 Accepting new patients
Norman Anesthesia Providers, P.C. CurrentSince Jun 7, 2010 Accepting new patients
Hpi Physicians LLC CurrentSince Dec 31, 2020 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.

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.

Verify at the official NPI Registry.