Individual provider Active NPI

Jennifer Jenkins Leuellen, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1043568660
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
825414 Issued in TX
Practice address
1002 Gemini St Ste 128
Houston, TX 77058-2746
Phone
(281) 218-9515
Fax
(281) 218-9534
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 147865 TX
Certified Registered Nurse Anesthetist 367500000X 825414 TX Primary

Addresses

Primary practice location

1002 Gemini St Ste 128
Houston, TX 77058-2746

Mailing address

1002 Gemini St Ste 128
Houston, TX 77058-2746
Phone (281) 348-0426

Other names 1

  • Jennifer Ashley Jenkins Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000319 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486802303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-4411

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
147865TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Feb 7, 2020 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients

Locations

2727 Gramercy St
Houston, TX 77025
Phone 281580903011

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: jleuellen468755@direct.stlukeshealth.org

Organizations & group practices 2

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 1

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043568660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582746",
            "telephone_number": "281-348-0426",
            "fax_number": "281-348-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582746",
            "telephone_number": "281-218-9515",
            "fax_number": "281-218-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUELLEN",
        "first_name": "JENNIFER",
        "middle_name": "JENKINS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "147865",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "825414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JENKINS",
            "middle_name": "ASHLEY",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.