Individual provider Active NPI

Susan A Schenk, CRNA

  • Certified Registered Nurse Anesthetist
  • Flowood, MS
National Provider Identifier
1467521914
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R864206 Issued in MS
Practice address
2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303
Phone
(601) 933-9521
Fax
(601) 933-9525
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R864206 MS Primary

Addresses

Primary practice location

2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303

Mailing address

2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303
Phone (601) 933-9521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000340 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557370889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants PAGroup PAC ID 4486637881, 102 clinicians

Practice addresses (Care Compare)

1026 N Flowood Dr
Jackson, MS 39232-9532
Phone (601) 932-1000

1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 932-1030

Hospital & facility affiliations

  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
  • Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R864206MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2006 Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

996 Top St
Flowood, MS 39232
Phone (601) 936-2526

2550 Flowood Dr
Ste 400
Flowood, MS 39232
Phone (601) 933-9521

1421 N State St
Ste 101
Jackson, MS 39202
Phone (601) 353-8000

1026 N Flowood Dr
Jackson, MS 39232
Phone (601) 932-1000

971 Lakeland Dr
Ste 200
Jackson, MS 39216

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1915 Dunbarton Dr
Jackson, MS 39216
Phone (601) 982-3338

760 Lakeland Dr
Jackson, MS 39216
Phone (601) 362-8700

501 Marshall St
Ste 604
Jackson, MS 39202
Phone (601) 982-7606

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1659 Lelia Dr
Jackson, MS 39216
Phone (601) 910-3004

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467521914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR",
            "address_2": "SUITE 400",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329303",
            "telephone_number": "601-933-9521",
            "fax_number": "601-933-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR",
            "address_2": "SUITE 400",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329303",
            "telephone_number": "601-933-9521",
            "fax_number": "601-933-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R864206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.