Individual provider Active NPI

Jenni L Huskey, CRNA

  • Certified Registered Nurse Anesthetist
  • Katy, TX
National Provider Identifier
1093761348
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
628378 Issued in TX
Practice address
6725 S Fry Rd Ste 700
PMB 534
Katy, TX 77494-8103
Phone
(713) 503-7817
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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 R171086-5 MN
Certified Registered Nurse Anesthetist 367500000X 628378 TX Primary

Addresses

Primary practice location

6725 S Fry Rd Ste 700
PMB 534
Katy, TX 77494-8103

Mailing address

6725 S Fry Rd Ste 700
PMB 534
Katy, TX 77494-8103
Phone (713) 858-3524

Other identifiers 1

IdentifierTypeStateIssuer
101651200MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827003103 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012962749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Anesthesia LLCGroup PAC ID 2860662996, 29 clinicians

Practice addresses (Care Compare)

1111 NE 99TH Ave
Suite 302
Portland, OR 97220-9442
Phone (503) 963-2707

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R171086-5MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2017 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Jul 1, 2015 Accepting new patients
St. Luke'S Hospital of Duluth Nurse Anesthetist, Certified Registered PastSince Aug 27, 2012 Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients
St. Luke'S Hospital of Duluth Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Okmulgee Memorial Hospital, Inc Past Accepting new patients
Omh Home Health Past Accepting new patients
Bay Group Anesthesia Services, PC Past Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients
Canadian Valley Anesthesia Services Past Accepting new patients

Locations

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

700 NE Multnomah St
Ste 1650
Portland, OR 97232
Phone (503) 734-1850

1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1093761348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 S FRY RD STE 700",
            "address_2": "PMB 534",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948103",
            "telephone_number": "713-858-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 S FRY RD STE 700",
            "address_2": "PMB 534",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948103",
            "telephone_number": "713-503-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSKEY",
        "first_name": "JENNI",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R171086-5",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "628378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101651200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.