Individual provider Active NPI

Jeffrey K Jenkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Hartford, KY
National Provider Identifier
1447564992
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
084055 Issued in KY
Practice address
1211 Main St
Hartford, KY 42347-1619
Phone
(270) 298-7411
NPI assigned
Jul 27, 2010
Last updated
Sep 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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 084055 KY Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001035 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153445093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 8628442191, 5 clinicians

Practice addresses (Care Compare)

440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084055KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell County Hospital, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Caldwell County Hospital, Inc Current Accepting new patients
Caldwell County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
S4 Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 13, 2022 Accepting new patients
Marshall County Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300

320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1447564992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RENFROW VALLEY RD",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422619350",
            "telephone_number": "270-526-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-298-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JEFFREY",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "084055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.