NPIMap

Organization Active NPI

Methodist Health, Inc.

Doing business as Deaconess Henderson Anesthesiology

  • Certified Registered Nurse Anesthetist
  • Henderson, KY
National Provider Identifier
1225016801
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
METHODIST HEALTH, INC.
Doing business as
Deaconess Henderson Anesthesiology
Practice address
1305 North Elm St
Henderson, KY 42420
Phone
(270) 827-7700
Fax
(270) 827-7469
NPI assigned
Jan 4, 2006
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Stephanie Jenkins
Title
VP
Phone
(270) 827-7118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

1305 North Elm St
Henderson, KY 42420

Mailing address

PO Box 638704
Cincinnati, OH 45263-8704
Phone (270) 827-7468

Other identifiers 1

IdentifierTypeStateIssuer
74900481MedicaidKY

Other names 1

  • Deaconess Henderson Anesthesiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000875 KY Part B Supplier - Clinic/Group Practice 4981508454 Receives reassigned benefits from 127 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morganfield, KY; Henderson, KY; Dixon, KY

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory
Tax ID family
MH ER Physicians17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

  • Chandra A Bailey, CRNA
    • Certified Registered Nurse Anesthetist
    • Paducah, KY
    • NPI 1912233321

    Nurse Anesthetist, Certified Registered

    NPD
  • Andrew Duncan, CRNA
    • Certified Registered Nurse Anesthetist
    • Edgewood, KY
    • NPI 1407391154

    Nurse Anesthetist, Certified Registered

    NPD
  • Michael R Hagerman, CRNA
    • Certified Registered Nurse Anesthetist
    • Henderson, KY
    • NPI 1225309628

    Nurse Anesthetist, Certified Registered

    NPD
  • William D Hudson, MD
    • Pain Medicine (Anesthesiology) Physician
    • Louisville, KY
    • NPI 1578504734
    NPD
  • Raeann Lynn Nance, CRNA
    • Certified Registered Nurse Anesthetist
    • Owensboro, KY
    • NPI 1780361360

    Nurse Anesthetist, Certified Registered

    NPD
  • Yiuka Pitt
    • Anesthesiology Physician
    • Louisville, KY
    • NPI 1326303819
    NPD
  • Bruce Scott Weickel, CRNA
    • Certified Registered Nurse Anesthetist
    • Bowling Green, KY
    • NPI 1093709545

    Nurse Anesthetist, Certified Registered

    NPD
  • Stacie Weickel, CRNA
    • Certified Registered Nurse Anesthetist
    • Bowling Green, KY
    • NPI 1164751574

    Nurse Anesthetist, Certified Registered

    NPD
  • Melissa C. Wint, CRNA
    • Certified Registered Nurse Anesthetist
    • Madisonville, KY
    • NPI 1609112168

    Nurse Anesthetist, Certified Registered

    NPD
  • Clarizel Concepcion Yarbrough, CRNA
    • Certified Registered Nurse Anesthetist
    • Bowling Green, KY
    • NPI 1962481515

    Nurse Anesthetist, Certified Registered

    NPD
  • Jason Mathias Ambrose, CRNA
    • Certified Registered Nurse Anesthetist
    • Mount Carmel, IL
    • NPI 1669271318

    Nurse Anesthetist, Certified Registered

    NPD
  • Brent Bland, CRNA
    • Certified Registered Nurse Anesthetist
    • Evansville, IN
    • NPI 1316708365

    Nurse Anesthetist, Certified Registered

    NPD
View all 29

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1225016801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638704",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638704",
            "telephone_number": "270-827-7468",
            "fax_number": "270-831-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 NORTH ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "270-827-7700",
            "fax_number": "270-827-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "270-827-7118"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74900481",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess Henderson Anesthesiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.