Active NPI
Jeanne Renee Matejka, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
National Provider Identifier
1487855102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 016138
- Practice address
- 6200 Savoy Dr Ste 150
Houston, TX 77036-3320 - Phone
- (713) 426-1669
- Fax
- (713) 868-9416
- NPI assigned
- May 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 016138 | TX | Primary |
| Registered Nurse | 163W00000X | 435864 | TX |
Addresses
Primary practice location
6200 Savoy Dr Ste 150
Houston, TX 77036-3320
Mailing address
PO Box 926098
Houston, TX 77292-6098
Phone (713) 426-1669
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109930105 | Medicaid | TX | |
| 83697U | Other | TX | BCBS INDIVIDUAL PROV # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Pain Consultants, LLP | Past | Accepting new patients | |
| Houston Anesthesia Services PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1497771562
-
- Pain Medicine (Anesthesiology) Physician
- Sugar Land, TX
- NPI 1932211992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1487855102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 926098",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772926098",
"telephone_number": "713-426-1669",
"fax_number": "713-868-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SAVOY DR STE 150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363320",
"telephone_number": "713-426-1669",
"fax_number": "713-868-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEJKA",
"first_name": "JEANNE",
"middle_name": "RENEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "016138",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "435864",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109930105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PROV #",
"identifier": "83697U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.