Individual provider Active NPI

Benjamin A Jensen, DO

  • Anesthesiology Physician
  • Rock Springs, WY
National Provider Identifier
1356543573
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11849A Issued in WY
Practice address
1200 College Dr
Rock Springs, WY 82901-5868
Phone
(307) 362-3711
NPI assigned
Jun 1, 2007
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11849A WY Primary

Addresses

Primary practice location

1200 College Dr
Rock Springs, WY 82901-5868

Mailing address

PO Box 1359
Rock Springs, WY 82902-1359
Phone (307) 362-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180921001455 WY Practitioner - Anesthesiology 1254429400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 College Dr
Rock Springs, WY 82901-5868
Phone (307) 362-3711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.04 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
72.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9991CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sweetwater County CurrentSince Aug 1, 2018 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Aug 1, 2018 Accepting new patients

Locations

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Organizations & group practices 2

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.

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1356543573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829021359",
            "telephone_number": "307-362-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015868",
            "telephone_number": "307-362-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "11849A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.