Active NPI
Jerromy Jones, CRNA
- Certified Registered Nurse Anesthetist
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 67464
- Practice address
- 1201 Health Center Pkwy
Yukon, OK 73099-6381 - Phone
- (405) 717-6800
- Fax
- (405) 717-7964
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 67464 | OK | Primary |
Addresses
Primary practice location
1201 Health Center Pkwy
Yukon, OK 73099-6381
Mailing address
4301 Mow Way Road
Fort Sill, OK 73503-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200097480A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800
4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565
Hospital & facility affiliations
- Integris Canadian Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67464 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Anesthesia Medical Professionals, PLLC | Current | Accepting new patients | |
| Canadian Valley Anesthesia Services | Past | Accepting new patients |
Locations
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
1201 Health Center Pkwy
#I
Yukon, OK 73099
Phone (405) 717-6800
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Edmond, OK
- NPI 1962785931
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Anesthesiology Physician
- Yukon, OK
- NPI 1770541385
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yukon, OK
- NPI 1306865357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1417030263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 MOW WAY ROAD",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735036300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 HEALTH CENTER PKWY",
"city": "YUKON",
"state": "OK",
"postal_code": "730996381",
"telephone_number": "405-717-6800",
"fax_number": "405-717-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JERROMY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "67464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200097480A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.