Jeffrey K Jenkins, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Hartford, KY
NPI 1447564992 · NPPES record last updated Sep 19, 2017
Key facts
- NPI
- 1447564992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 084055 (KY)
- Practice address
- 1211 Main St
Hartford, KY 42347-1619 - Phone
- (270) 298-7411
- NPI assigned
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- S4 Anesthesia Services PLLC
Practice addresses (Care Compare)
440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8000
Hospital & facility affiliations
- Owensboro Health Muhlenberg Community Hospital
- Owensboro Health Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101025001035 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1153445093 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084055 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S4 Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Caldwell County Hospital, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Caldwell County Hospital, Inc | Current | Accepting new patients | |
| Caldwell County Hospital, Inc. | Current |
Accepting new patients | |
| Marshall County Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1020 N Main St
Beaver Dam, KY 42320
Phone (270) 274-0480
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320
100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIDFCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 084055 | KY | Yes |
Addresses
Primary practice location
1211 Main St
Hartford, KY 42347-1619
Mailing address
103 Renfrow Valley Rd
Morgantown, KY 42261-9350
Phone (270) 526-5956
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083746 | Other | KY | LICENSE |
| 6415A | Other | KY | ARNP LICENSE |
Other providers in Hartford, KY
- Richard J. Hayden
- Pamela J Hayes
- Glenn A. Henning
- Kelly Jean Jameson
- John Jeffries
- Anita Joiner
- Marilyn G. Jones
- Karen Ammon
- Robert D Knox
- Courtney Campbell Kramer
All providers in Hartford, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.