Individual provider Active NPI

Thomas Scott Jenks, CRNA

  • Certified Registered Nurse Anesthetist
  • Buckhannon, WV
National Provider Identifier
1205973260
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
69536 Issued in WV
Practice address
1 Amalia Dr
Buckhannon, WV 26201-2276
Phone
(304) 473-2000
NPI assigned
Jan 31, 2007
Last updated
Jun 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 69536 WV Primary

Addresses

Primary practice location

1 Amalia Dr
Buckhannon, WV 26201-2276

Mailing address

1 Amalia Dr
Buckhannon, WV 26201-2276
Phone (304) 473-2000

Other identifiers 1

IdentifierTypeStateIssuer
3810008515MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018001302 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092818658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of AnacondaGroup PAC ID 8123938974, shared by 5 NPIs, 45 clinicians

Practice addresses (Care Compare)

401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69536WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince May 1, 2025 Accepting new patients
Anesthesia Consulting Partners PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2023 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda Current Accepting new patients

Locations

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1205973260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMALIA DR",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012276",
            "telephone_number": "304-473-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AMALIA DR",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012276",
            "telephone_number": "304-473-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKS",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "69536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008515",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.