Active NPI
Jennifer Kolka, CRNA
- Certified Registered Nurse Anesthetist
- Murfreesboro, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN155368
- Practice address
- 1800 Medical Center Pkwy
Suite 330
Murfreesboro, TN 37129-2567 - Phone
- (615) 396-4464
- Fax
- (615) 396-6748
- NPI assigned
- Dec 20, 2010
- 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 | RN155368 | TN | Primary |
Addresses
Primary practice location
1800 Medical Center Pkwy
Suite 330
Murfreesboro, TN 37129-2567
Mailing address
PO Box 1252
Murfreesboro, TN 37133-1252
Phone (615) 396-4464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522796 | Medicaid | TN | |
| 4285288 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, OK
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Medical Ctr Pkwy
Suite 330
Murfreesboro, TN 37129-2586
Phone (615) 410-7873
1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15367 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmers Union Hospital Association | Current | Accepting new patients | |
| Farmers Union Hospital Association | Current | Accepting new patients | |
| Murfreesboro Anesthesia Group, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699
1800 Medical Center Pkwy
Ste 330
Murfreesboro, TN 37129
Phone (615) 396-4464
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Murfreesboro, TN
- NPI 1912959867
Nurse Anesthetist, Certified Registered
-
dba Great Plains Regional Medical Center
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
-
dba Great Plains Pat Wall Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1114421492
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Great Plains Medical Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1023512308
Hospital
-
dba Great Plains Pat Wall Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1114421492
Hospital
-
dba Great Plains Regional Medical Center
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1225331937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1252",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371331252",
"telephone_number": "615-396-4464",
"fax_number": "615-396-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MEDICAL CENTER PKWY",
"address_2": "SUITE 330",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371292567",
"telephone_number": "615-396-4464",
"fax_number": "615-396-6748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLKA",
"first_name": "JENNIFER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN155368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522796",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4285288",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.