Individual provider Active NPI

Jacqueline Denise Monroe, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Sam Houston, TX
National Provider Identifier
1235434705
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP120035 Issued in TX
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 315-9594
NPI assigned
Jan 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN159527 GA
Certified Registered Nurse Anesthetist 367500000X AP120035 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

36000 Darnall Loop
Carl R. Darnell Army Medical Center
Fort Hood, TX 76544
Phone (210) 315-9594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190429001544 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628310398 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians

Practice addresses (Care Compare)

1001 Surrey LN
Flower Mound, TX 75022-4234
Phone (817) 337-3671

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN159527GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2020 Accepting new patients
Texas Anesthesia Team PLLC CurrentSince Mar 17, 2022 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2020 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 9, 2022 Accepting new patients
Orthomed Staffing LLC CurrentSince Jan 1, 2026 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations (25 of 32)

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

520 E Euclid Ave
San Antonio, TX 78212

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6427 Old Babcock Rd
Ste 100
San Antonio, TX 78240
Phone (210) 704-0465

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

1139 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 638-2000

8706 Fredericksburg Rd
Ste 104
San Antonio, TX 78240
Phone (210) 714-2488

5510 Presidio Pkwy
Ste 100
San Antonio, TX 78249
Phone (210) 583-7200

18414 US Highway 281 N
Ste 114
San Antonio, TX 78259
Phone (210) 450-4155

123 N Loop 1604 E
Ste 107
San Antonio, TX 78232
Phone (210) 267-1374

502 Madison Oak Dr
Ste 500
San Antonio, TX 78258
Phone (210) 499-6700

715 Camden St
San Antonio, TX 78215
Phone (210) 692-0218

225 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 281-8314

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1235434705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "address_2": "CARL R. DARNELL ARMY MEDICAL CENTER",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "210-315-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-315-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JACQUELINE",
        "middle_name": "DENISE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN159527",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP120035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.