Active NPI
Zachary Jennings, RN
- Certified Registered Nurse Anesthetist
- Menasha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 17041-33
- Practice address
- 1449 Manitowoc Rd
Menasha, WI 54952-2630 - Phone
- (815) 353-5824
- NPI assigned
- Oct 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 196435 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 17041-33 | WI | Primary |
Addresses
Primary practice location
1449 Manitowoc Rd
Menasha, WI 54952-2630
Mailing address
1449 Manitowoc Rd
Menasha, WI 54952-2630
Phone (815) 353-5824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196435 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1616 N Casaloma Dr
Appleton, WI 54913
Phone (920) 268-1516
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
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.
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1104607340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 MANITOWOC RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "549522630",
"telephone_number": "815-353-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 MANITOWOC RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "549522630",
"telephone_number": "815-353-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "ZACHARY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-12",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "196435",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "17041-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.