Active NPI
Jenna Lea Hayes, CRNA
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2013004495
- Practice address
- 12634 Olive Blvd
Saint Louis, MO 63141-6337 - Phone
- (800) 862-9980
- Fax
- (314) 362-1185
- NPI assigned
- Jan 22, 2013
- Last updated
- Jul 30, 2026
- 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 | 2013004495 | MO | Primary |
Addresses
Primary practice location
12634 Olive Blvd
Saint Louis, MO 63141-6337
Mailing address
660 S Euclid Ave
CB 8054
Saint Louis, MO 63110-1010
Phone (800) 862-9980
Other names 1
- Jenna Tebbenkamp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Southern Illinois University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111
2810 Frank Scott Pkwy W
Suite 716
Belleville, IL 62223-5007
Phone (618) 355-0880
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013004495 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia of Southern Illinois LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bel Clair Ambulatory Surgical Treatment Center, LTD. | Current | Accepting new patients | |
| SW Anesthesia LLC | Current | Accepting new patients | |
| Gateway Anesthesia Group LLC | Current | Accepting new patients | |
| Starlight Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients |
Locations
2810 Frank Scott Pkwy W
Ste 716
Belleville, IL 62223
Phone (618) 355-0880
325 W Lincoln St
Belleville, IL 62220
Phone (618) 205-2299
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
10296 Big Bend Rd
Saint Louis, MO 63122
Phone (314) 543-5970
12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Belleville, IL
- NPI 1053662932
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, IL
- NPI 1699032524
-
- Certified Registered Nurse Anesthetist
- Hillsboro, IL
- NPI 1508214446
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1457040479
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1306319769
-
- Ambulatory Surgical Clinic/Center
- Belleville, IL
- NPI 1174601223
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1194063438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8054",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12634 OLIVE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416337",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "JENNA",
"middle_name": "LEA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2013004495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "TEBBENKAMP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.