Jeaniece P Mukherjee, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

678919 Issued in TX

Practice address

1000 Lipscomb St Ste 110
Fort Worth, TX 76104-3181

Phone

(817) 348-8600

NPI assigned

Jan 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kell West Regional Hospital Hospital, Wichita Falls, TX, CCN 450827

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Grasshopper Anesthesia Services PLLC

  • Certified Registered Nurse Anesthetist
  • Nacogdoches, TX
  • NPI 1932635752

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Seena Anesthesia PLLC

  • Anesthesiology Physician
  • Burleson, TX
  • NPI 1740676105
  Medicare reassignment NPD
• SP Pain Partners, PLLC

  • Anesthesiology Physician
  • Frisco, TX
  • NPI 1679078075

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Spine Team Texas PA

  • Neurological Surgery Physician
  • Southlake, TX
  • NPI 1629082995
  Medicare reassignment NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Beaumont, TX
  • NPI 1548817471

  Nurse Anesthetist, Certified Registered

  NPD
• Spine Team Texas, PA

  • Physical Medicine & Rehabilitation Physician
  • Allen, TX
  • NPI 1053798983
  NPD

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

• Kell West Regional Hospital LLC

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1669480323
  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1407093735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162835",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761612835",
            "telephone_number": "817-334-0530",
            "fax_number": "817-334-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LIPSCOMB ST STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043181",
            "telephone_number": "817-348-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042733",
            "country_code": "US",
            "telephone_number": "682-885-4054",
            "fax_number": "682-885-7497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "JEANIECE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "678919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00N47F",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199310708",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199310702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN GROUP NUMBER",
            "identifier": "140442853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "199310703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "137345809",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Jean Muhr III, DNP, APRN
• Maria Joy Muhwanga, RN
• Svenja Mujagic, DNAP, CRNA
• Marie Josee Mukankusi, RN BSN
• Emilia Iya Maseki Mukete
• Partha Mukherji, DDS
• Mallikarjuna R. Mukka, M.D.
• Tarneisha Mukoko
• Brian C Mulhall, D.C.
• Shannon Marie Mulhollan, MOT/OTR

• Certified Registered Nurse Anesthetist in Fort Worth, TX
• Providers in Fort Worth, 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 Sep 10, 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.

Verify at the official NPI Registry.