Individual provider Active NPI

Jess C Parker, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
National Provider Identifier
1063688232
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CTP000079 Issued in AR
Practice address
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone
(918) 579-8344
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 CTP000079 AR Primary

Addresses

Primary practice location

1120 S Utica Ave
Tulsa, OK 74104-4012

Mailing address

PO Box 8099
Jonesboro, AR 72403-8099
Phone (870) 932-4211

Other practice location 1

225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone (870) 972-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110531000699 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638242167 Reassigns benefits to 5 organizations
I20210616001486 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638242167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
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)

1120 S Utica Ave
HC Med Ctr
Tulsa, OK 74104-4012
Phone (918) 579-1000

Hospital & facility affiliations

  • Hillcrest Hospital Cushing Hospital, Cushing, OK, CCN 370099
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CTP000079ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Cherokee Nation Current Accepting new patients
South Tulsa Anesthesia LLC CurrentSince Oct 31, 2017 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 22, 2017 Accepting new patients
Northeastern Health System CurrentSince Apr 6, 2022 Accepting new patients
Drumright Community Hospital LLC CurrentSince Oct 1, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Apr 30, 2021 Accepting new patients
Langley Holdings, LLC Current Accepting new patients
Cherokee Nation CurrentSince Apr 30, 2021 Accepting new patients
Northeastern Health System CurrentSince Apr 6, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 22, 2017 Accepting new patients
Jonesboro Anesthesia Inc Past Accepting new patients

Locations

610 W Bypass
Drumright, OK 74030
Phone (918) 382-2300

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

9840 E 81st St
Ste 200
Tulsa, OK 74133
Phone (918) 872-8447

Dept 2269
Tulsa, OK 74182

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Dept 1467
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 14

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.

View all 14

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063688232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8099",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724038099",
            "telephone_number": "870-932-4211",
            "fax_number": "870-931-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-8344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013119",
            "country_code": "US",
            "telephone_number": "870-972-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JESS",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CTP000079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.