Active NPI
Jennifer Hager, DNP, MBA, CRNA
- Certified Registered Nurse Anesthetist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28179714A
- Practice address
- 10315 Dawsons Creek Blvd Ste Ab
Fort Wayne, IN 46825 - Phone
- (260) 436-7875
- Fax
- (260) 432-9812
- NPI assigned
- Sep 15, 2020
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 28179714A | IN | Primary |
Addresses
Primary practice location
10315 Dawsons Creek Blvd Ste Ab
Fort Wayne, IN 46825
Mailing address
PO Box 843603
Dallas, TX 75284-3603
Other practice location 1
1101 Michigan Ave
Logansport, IN 46947-1528
Phone (574) 753-7541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093320038 | Medicaid | IN |
Other names 1
- Jennifer Walsh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Hospital & facility affiliations
- Lutheran Hospital of Indiana
- St Joseph Health System, LLC
- Dupont Hospital LLC
- The Orthopaedic Hospital of Lutheran Health Networ
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28179714A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Kentucky PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
9 Northeastern Blvd
Ste 400
Salem, NH 03079
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Midwest Anesthesia Associates
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1144901042
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
dba Lutheran Downtown Hospital
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1023060472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1093320038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843603",
"city": "DALLAS",
"state": "TX",
"postal_code": "752843603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10315 DAWSONS CREEK BLVD STE AB",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46825",
"telephone_number": "260-436-7875",
"fax_number": "260-432-9812"
}
],
"practiceLocations": [
{
"address_1": "1101 Michigan Ave",
"address_purpose": "LOCATION",
"city": "Logansport",
"state": "IN",
"postal_code": "469471528",
"country_code": "US",
"telephone_number": "574-753-7541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGER",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DNP, MBA, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28179714A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093320038",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WALSH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.