Individual provider Active NPI

Jenna McGovern

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1184162026
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3016816 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536
Phone
(859) 323-5956
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 114100 OH
Certified Registered Nurse Anesthetist 367500000X 3016816 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536

Mailing address

6822 Hillock CT
Florence, KY 41042-1174
Phone (859) 250-4188

Other practice location 1

6822 Hillock Ct
Florence, KY 41042-1174
Phone (859) 250-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170621002008 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911274550 Reassigns benefits to 1 organization
I20211015002702 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911274550 Reassigns benefits to 2 organizations

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)

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3016816KYMDCertified Registered Nurse Anesthetist
114100OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2017 Accepting new patients
Anesthesia & Intensive Care Consultants,Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2017 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2022 Accepting new patients
University of Kentucky CurrentSince Nov 1, 2021 Accepting new patients
Trihealth G LLC Past Accepting new patients

Locations

2845 Chancellor Dr
Ste 100
Crestview Hills, KY 41017

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

3025 Dixie Hwy
Edgewood, KY 41017
Phone (502) 897-2804

580 S Loop Rd
Ste 100
Edgewood, KY 41017

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

L6147
Cincinnati, OH 45270

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1184162026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 HILLOCK CT",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421174",
            "telephone_number": "859-250-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-323-5956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6822 Hillock Ct",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421174",
            "country_code": "US",
            "telephone_number": "859-250-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "114100",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3016816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.