Active NPI
Patricia Jo Jennings, CRNA
- Certified Registered Nurse Anesthetist
- Menomonie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 122275
- Practice address
- 2321 Stout Rd
Menomonie, WI 54751-7003 - Phone
- (715) 838-5222
- Fax
- (608) 791-9898
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 122275 | WI | Primary |
Addresses
Primary practice location
2321 Stout Rd
Menomonie, WI 54751-7003
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pjennings25129@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060405000330 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6800804667 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tomah Memorial Hospital Inc
Practice addresses (Care Compare)
501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181
Hospital & facility affiliations
- Tomah Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122275 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| North American Partners in Anesthesia Wisconsin SC | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
Interoperability endpoints
- pjennings25129@ehrdirect.mayoclinicmsg.org
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
WI
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
WI
-
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
WI
-
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
-
- Critical Access Hospital
- Bloomer, WI
- NPI 1700837812
WI
-
- Community Based Hospice Care Agency
- Tomah, WI
- NPI 1588706329
-
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
-
- Anesthesiology Physician
- Eau Claire, WI
- NPI 1720733454
Hospital & facility affiliations 1
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": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1477514792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 STOUT RD",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547517003",
"telephone_number": "715-838-5222",
"fax_number": "608-791-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "PATRICIA",
"middle_name": "JO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "122275",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pjennings25129@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "2321 Stout Rd",
"city": "Menomonie",
"state": "WI",
"country_code": "US",
"postal_code": "547517003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.