Active NPI
Jordan Crumrine, CRNA
- Certified Registered Nurse Anesthetist
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 789218
- Practice address
- 520 E 6TH St
Odessa, TX 79761-4527 - Phone
- (432) 332-0929
- Fax
- (888) 575-9993
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- 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 | 789218 | TX | Primary |
Addresses
Primary practice location
520 E 6TH St
Odessa, TX 79761-4527
Mailing address
PO Box 1226
Odessa, TX 79760-1226
Phone (432) 332-0929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 E 5TH St
Odessa, TX 79761-5133
Phone (432) 335-8300
520 E 6TH St
Odessa Reg Med Ctr
Odessa, TX 79761-4527
Phone (432) 582-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 789218 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group of the Permian Basin, LLP | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| BHS Physicians Network, Inc | Current | Accepting new patients |
Locations
5609 Deauville
Midland, TX 79706
Phone (432) 697-3629
315 E 5th St
Odessa, TX 79761
Phone (432) 333-3433
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
4 Burnside
#100
Wichita Falls, TX 76310
Phone (940) 400-6400
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 and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Midland, TX
- NPI 1669596672
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1306673009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1104278498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1226",
"city": "ODESSA",
"state": "TX",
"postal_code": "797601226",
"telephone_number": "432-332-0929",
"fax_number": "888-575-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E 6TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614527",
"telephone_number": "432-332-0929",
"fax_number": "888-575-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMRINE",
"first_name": "JORDAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "789218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.