Active NPI
Jessica Renee Zacek, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP111439
- Practice address
- 1500 Citywest Blvd Ste 300
Houston, TX 77042-2549 - Phone
- (972) 715-0000
- NPI assigned
- Dec 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 633024 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP111439 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
9301 N Central Expy Ste 685
Dallas, TX 75231-0806
Phone (972) 572-6101
Other practice location 2
800 W Arbrook Blvd Ste 120
Arlington, TX 76015-4316
Phone (817) 468-4343
Other practice location 3
17051 Dallas Pkwy Ste 440
Addison, TX 75001-7114
Phone (972) 572-6101
Other practice location 4
6606 Lbj Fwy Ste 200
Dallas, TX 75240
Phone (972) 715-5000
Other practice location 5
2010 W Katherine P Raines Rd Ste 500
Cleburne, TX 76033-7464
Phone (817) 558-4600
Other practice location 6
5323 Harry Hines Blvd
Dallas, TX 75390
Phone (214) 648-6400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00265383 | Other | TX | RAILROAD |
| 155266302 | Medicaid | TX | |
| 155266304 | Medicaid | TX | |
| 155266303 | Medicaid | TX | |
| 83362U | Other | TX | BCBS |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9301 N Central Expy
Dallas, TX 75231-0806
Phone (972) 572-6101
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Texas Orthopedic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633024 | TX | MD | Certified Registered Nurse Anesthetist |
| AP111439 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100
4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 4
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
- Houston, TX
- NPI 1548208564
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1114992161
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1134166192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1275510091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422549",
"telephone_number": "972-715-0000"
}
],
"practiceLocations": [
{
"address_1": "9301 N Central Expy Ste 685",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752310806",
"country_code": "US",
"telephone_number": "972-572-6101",
"fax_number": "972-572-6104",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 W Arbrook Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760154316",
"country_code": "US",
"telephone_number": "817-468-4343",
"fax_number": "817-468-3438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17051 Dallas Pkwy Ste 440",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "TX",
"postal_code": "750017114",
"country_code": "US",
"telephone_number": "972-572-6101",
"fax_number": "972-572-6104",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6606 Lbj Fwy Ste 200",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75240",
"country_code": "US",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2010 W Katherine P Raines Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Cleburne",
"state": "TX",
"postal_code": "760337464",
"country_code": "US",
"telephone_number": "817-558-4600",
"fax_number": "817-558-4602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5323 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75390",
"country_code": "US",
"telephone_number": "214-648-6400",
"fax_number": "214-648-5461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZACEK",
"first_name": "JESSICA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "633024",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP111439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00265383",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155266302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155266304",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155266303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83362U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.