Active NPI
Adam Robert Jensen, CRNA
- Certified Registered Nurse Anesthetist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- L6-0A00654
- Practice address
- 4755 Ogletown-Stanton Road
Newark, DE 19718 - Phone
- (302) 733-1000
- NPI assigned
- Nov 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN605347 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A00654 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown-Stanton Road
Newark, DE 19718
Mailing address
2 Reeds Way
Suite 201
New Castle, DE 19720-1630
Phone (302) 709-4510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-7564
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.99 of 100
- Quality
- 97.98
- Improvement activities
- 40
- Cost
- 82.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6-0A00654 | DE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenwood Anesthesia Professionals, PC | Current | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Glenwood Springs, CO
- NPI 1013335389
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley View Surgery Center at Basalt
- Ambulatory Surgical Clinic/Center
- Basalt, CO
- NPI 1649885849
Hospital
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1467739094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 REEDS WAY",
"address_2": "SUITE 201",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197201630",
"telephone_number": "302-709-4510",
"fax_number": "302-356-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN-STANTON ROAD",
"city": "NEWARK",
"state": "DE",
"postal_code": "19718",
"telephone_number": "302-733-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ADAM",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-10",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN605347",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A00654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.