Jessica Ruth Walkup, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

24172347 Issued in VA

Practice address

1650 Cochrane Cir # B7500
Fort Carson, CO 80913-4613

Phone

(719) 526-7192

NPI assigned

Feb 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Ruth Walkup Shenkman Former name

Medicare fee-for-service enrollment

Enrolled in VA, WV, TX3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Camc Greenbrier Valley Medical Center IncGroup PAC ID 1254702962, 79 clinicians

Anesthesia Medical Group of the Permian Basin, LLPGroup PAC ID 6901999176, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002
• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Camc Greenbrier Valley Medical Center Inc

  • Cardiovascular Disease Physician
  • Ronceverte, WV
  • NPI 1588373872
  Medicare reassignment Care Compare group NPD
• Anesthesia Medical Group of the Permian Basin, LLP

  • Anesthesiology Physician
  • Midland, TX
  • NPI 1669596672
  Medicare reassignment Care Compare group
• Premier Anesthesia of Virginia LLC

  • Anesthesiology Physician
  • Woodbridge, VA
  • NPI 1255986147

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Surgical Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1811930647

  VA

  Medicare reassignment NPD
• Northstar Anesthesia of Virginia, LLC

  • Anesthesiology Physician
  • Alexandria, VA
  • NPI 1194488791
  Medicare reassignment
• Camc Greenbrier Valley Medical Center, Inc.

  • Rural Health Clinic/Center
  • Peterstown, WV
  • NPI 1588485478
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  Care Compare affiliation
• Midland County Hospital District

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1215328570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-3657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKUP",
        "first_name": "JESSICA",
        "middle_name": "RUTH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2023-09-21",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC0001478",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "24172347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SHENKMAN",
            "middle_name": "RUTH WALKUP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Zareno Villanueva
• Jaime Viramontes Jr., DMD
• Alexander Richard Vosberg, PA
• Casey Walker
• Marc Robert Walker, M.D.
• Lane Lamar Wall, M.D.
• Kristin Renee Wallace, PHARM.D.
• Deanna Lorraine Wallis, REGISTERED NURSE
• Charles K. Walters, DHSC, OTR/L, CHT
• Lucas M. Wangerin, PA-C

• Certified Registered Nurse Anesthetist in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.