Jason W. Crookshank, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

116622 Issued in TX

Practice address

755 N 11TH St
Suite P3600
Beaumont, TX 77702-1500

Phone

(409) 838-5214

Fax

(409) 838-5214

NPI assigned

May 20, 2008

Last updated

Jul 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates Group PLLCGroup PAC ID 2264792449, 35 clinicians

Calcasieu Cameron Hospital Service DistrictGroup PAC ID 1052221447, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Calcasieu Cameron Hospital Service District

  dba West Calcasieu Cameron Hospital

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1093719932
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates Group PLLC

  • Anesthesiology Physician
  • Beaumont, TX
  • NPI 1477078202
  Medicare reassignment Care Compare group
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lake Charles Anesthesiology, Apmc

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1588674790
  Medicare reassignment NPD
• Calcasieu Cameron Hospital Service District

  dba Primary Care Associates of West Calcasieu Cameron Hospital

  • Clinic/Center
  • Sulphur, LA
  • NPI 1336996008
  NPD
• Calcasieu Cameron Hospital Service District

  dba Anesthesia Services of West Calcasieu Cameron Hospital

  • Anesthesiology Physician
  • Sulphur, LA
  • NPI 1740832625
  NPD
• Calcasieu Cameron Hospital Service District

  dba Calcasieu Family Physicians of West Calcasieu Cameron Hospital

  • Clinic/Center
  • Sulphur, LA
  • NPI 1801133913
  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  dba Sulphur Community Clinic

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1083992382
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  dba West Calcasieu Cameron Hospital

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1093719932
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  dba Community Health Center of West Calcasieu Cameron Hospital

  • Multi-Specialty Clinic/Center
  • Sulphur, LA
  • NPI 1215560974

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  dba ENT Associates of West Calcasieu Cameron Hospital

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sulphur, LA
  • NPI 1366700387

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  dba OBG-1 of West Calcasieu Cameron Hospital

  • Obstetrics & Gynecology Physician
  • Sulphur, LA
  • NPI 1619221348

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  dba Calcasieu Family Physicians of West Calcasieu Cameron Hospital

  • Clinic/Center
  • Sulphur, LA
  • NPI 1801133913

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  dba Urology Clinic of West Calcasieu Cameron Hospital

  • Urology Physician
  • Sulphur, LA
  • NPI 1942552310

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1306003140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5587",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777265587",
            "telephone_number": "409-838-5214",
            "fax_number": "409-838-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3600",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-838-5214",
            "fax_number": "409-838-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKSHANK",
        "first_name": "JASON",
        "middle_name": "W.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "116622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crawford Andrews & Davis PTR (Radiology Associates, L.L.P.)
• Nakia Antoinette Crawford
• Creative Change Counseling Center
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• Charles Brian Crim, M.D.
• Crista Crouch
• Levon Ray Cruce, CP BOCPO
• Andrea Cruz
• CSP Pharmacy Services LLC
• Carrie Dawn Culp Adams, NP

• Certified Registered Nurse Anesthetist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.