Individual provider Active NPI

Jenna Assante, CRNA

  • Certified Registered Nurse Anesthetist
  • West Lake Hills, TX
National Provider Identifier
1275914442
Registry record updated Jun 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
107484 Issued in TX
Practice address
5656 Bee Caves Rd
West Lake Hills, TX 78746-5280
Phone
(936) 639-3036
NPI assigned
Jun 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 107484 TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd
West Lake Hills, TX 78746-5280

Mailing address

1004 S Rock St
Georgetown, TX 78626-5837
Phone (512) 374-1876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111002040 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092029181 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

195 E Main St
Huntington, NY 11743-2957
Phone (914) 666-8866

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107484TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Anesthesiology Associates, PC CurrentSince Dec 31, 2023 Accepting new patients
Office Based Anesthesia LLC CurrentSince Jan 1, 2024 Accepting new patients
Long Island Digestive Endoscopy Center, LLC CurrentSince Jul 18, 2024 Accepting new patients
Easter Medical Management Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Easter Anesthesia Staffing Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

185 Central Ave
Bethpage, NY 11714
Phone (516) 733-7100

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

488 Great Neck Rd
Great Neck, NY 11021
Phone (516) 466-1151

400 Townline Rd
Ste 135
Hauppauge, NY 11788
Phone (631) 360-0266

125 Kennedy Dr
Ste 300
Hauppauge, NY 11788
Phone (934) 223-4500

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

61 Southern Blvd
Nesconset, NY 11767
Phone (631) 659-1700

1991 Marcus Ave
Ste 1010
New Hyde Park, NY 11042
Phone (631) 360-4000

131 Merrick Rd
North Merrick, NY 11566
Phone (516) 223-1515

1500 Route 112
Bldg 5
Port Jefferson Station, NY 11776
Phone (631) 470-1450

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500

48 Route 25A
Ste 105
Smithtown, NY 11787
Phone (631) 360-4000

373 Route 111
Ste 7
Smithtown, NY 11787
Phone (631) 360-4000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434240000000",
    "number": "1275914442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S ROCK ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265837",
            "telephone_number": "512-374-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "936-639-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSANTE",
        "first_name": "JENNA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-14",
        "last_updated": "2015-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "107484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2015; 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.