Individual provider Active NPI

Tana B Jenkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
National Provider Identifier
1447302294
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
164859 Issued in NC
Practice address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone
(910) 343-7000
NPI assigned
Jan 18, 2007
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 164859 NC Primary

Addresses

Primary practice location

2131 S 17TH St
Wilmington, NC 28401-7407

Mailing address

2408 E Yacht Dr
Oak Island, NC 28465-6241
Phone (910) 278-1582

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address TJENKINS16774@DIRECT.NOVANTHEALTH.ORG
Direct Messaging Address tjenkins122209@direct.nhrmc.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000359 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961471834 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

924 N Howe St
Southport, NC 28461-3038

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Memorial Hospital Incorporated CurrentSince Jul 12, 2024 Accepting new patients
American Anesthesiology of North Carolina, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Pender Memorial Hospital Incorporated Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Surgery Center Anesthesia Providers PC Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2024 Accepting new patients
Coastal Carolina Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2023 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Aug 14, 2008 Accepting new patients
Pender Memorial Hospital, Incorporated CurrentSince Jul 12, 2024 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Aug 14, 2008 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Feb 1, 2021 Accepting new patients
NMG Southpark Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

320 Lillington Ave
Ste 101
Charlotte, NC 28204
Phone (704) 332-1574

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1168 E Cutlar Crossing
Ste 101
Leland, NC 28451
Phone (910) 332-1550

1333 S Dickinson Dr
Unit 120
Leland, NC 28451
Phone (910) 763-2361

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

13 Medical Campus Dr NW
#101
Supply, NC 28462
Phone (910) 721-4300

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

1305 Glen Meade Rd
Wilmington, NC 28401
Phone (910) 815-6100

1801 S 17th St
Wilmington, NC 28401
Phone (910) 763-4555

1919 S 16th St
Wilmington, NC 28401
Phone (910) 763-9334

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

2305 Canterwood Dr
Wilmington, NC 28401
Phone (910) 343-0119

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

Interoperability endpoints

  • Direct secure messaging: tjenkins16774@direct.novanthealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1447302294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 E YACHT DR",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284656241",
            "telephone_number": "910-278-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-343-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TANA",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "164859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TJENKINS16774@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjenkins122209@direct.nhrmc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.