Active NPI
Jacob Joseph Reinen, CRNA
- Certified Registered Nurse Anesthetist
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 754407
- Practice address
- 2811 Tieton Dr
Yakima, WA 98902-3761 - Phone
- (509) 575-8000
- NPI assigned
- Jul 20, 2007
- Sex
- Male
- 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 | 754407 | TX | Primary |
Addresses
Primary practice location
2811 Tieton Dr
Yakima, WA 98902-3761
Mailing address
406 S 30TH Ave
Suite 202
Yakima, WA 98902-3713
Phone (509) 972-1051
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89029U | Other | TX | BCBS |
| 194807701 | Medicaid | TX | |
| P00711635 | Other | TX | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Wilson St
Ut Health Henderson
Henderson, TX 75652-5956
Phone (903) 657-7541
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481
5016 N Hwy 75
Denison, TX 75020-4584
Phone (903) 416-4000
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000
Hospital & facility affiliations
- Ut Health East Texas Henderson Hospital
- Nacogdoches Medical Center
- Texoma Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 754407 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep East Texas Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physician Anesthesia Assoc Inc PS | Past | Accepting new patients |
Locations
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
638 N University Dr
Ste A
Nacogdoches, TX 75961
4948 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 305-9212
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
4 Burnside
#100
Wichita Falls, TX 76310
Phone (940) 400-6400
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Nacogdoches, TX
- NPI 1942879580
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Yakima, WA
- NPI 1457432791
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
-
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1265632863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 S 30TH AVE",
"address_2": "SUITE 202",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023713",
"telephone_number": "509-972-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 TIETON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023761",
"telephone_number": "509-575-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINEN",
"first_name": "JACOB",
"middle_name": "JOSEPH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "754407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89029U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194807701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00711635",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.