Individual provider Active NPI

Jennifer Krout, CRNA

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
National Provider Identifier
1376853259
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA Issued in AZ
Practice address
8422 E Shea Blvd
103
Scottsdale, AZ 85260-6661
Phone
(480) 478-6620
Fax
(480) 478-6628
NPI assigned
Oct 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN146412 AZ
Registered Nurse 163W00000X IR949482 OH
Registered Nurse 163W00000X RN593562 CA
Certified Registered Nurse Anesthetist 367500000X CRNA AZ Primary

Addresses

Primary practice location

8422 E Shea Blvd
103
Scottsdale, AZ 85260-6661

Mailing address

8422 E Shea Blvd
103
Scottsdale, AZ 85260-6661
Phone (480) 478-6620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115001211 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820283922 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Care Anesthesia PLCGroup PAC ID 5799929907, 3 clinicians

Practice addresses (Care Compare)

13640 N 99TH Ave
Suite 600
Sun City, AZ 85351-2867
Phone (602) 395-0718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN146412AZMDRegistered Nurse
RN593562CAMDRegistered Nurse
IR949482OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners of Arizona LLC CurrentSince Jun 15, 2019 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2018 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Az Care Anesthesia , PLC CurrentSince Nov 6, 2019 Accepting new patients
Summit Anesthesia Partners Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

18555 N 79th Ave
Bldg C
Glendale, AZ 85308
Phone (623) 776-2500

1301 S Crismon Rd
#C
Mesa, AZ 85209

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

13640 N 99th Ave
Ste 600
Sun City, AZ 85351
Phone (623) 523-0580

2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141

1984 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 237-1234

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1376853259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 E SHEA BLVD",
            "address_2": "103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606661",
            "telephone_number": "480-478-6620",
            "fax_number": "480-478-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 E SHEA BLVD",
            "address_2": "103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606661",
            "telephone_number": "480-478-6620",
            "fax_number": "480-478-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUT",
        "first_name": "JENNIFER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN146412",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "IR949482",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN593562",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.