Active NPI
Jena Mansour
- Certified Registered Nurse Anesthetist
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 141867
- Practice address
- 6225 N State Highway 161 Ste 200
Irving, TX 75038-2241 - Phone
- (214) 687-0001
- Fax
- (972) 518-2100
- NPI assigned
- Mar 26, 2020
- Last updated
- Feb 24, 2022
- 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 | 141867 | CT | Primary |
Addresses
Primary practice location
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Mailing address
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Phone (214) 687-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 141867 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| S4 Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forefront Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vanderbilt University Medical Center | Past | Accepting new patients |
Locations
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
Organizations & group practices 8
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
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Central City, KY
- NPI 1932835816
Nurse Anesthetist, Certified Registered
-
dba Med Center Health Neurology
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
- Certified Registered Nurse Anesthetist
- Clarksville, TN
- NPI 1942858394
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
Nurse Anesthetist, Certified Registered
-
dba Med Center Health Urology
- Urology Physician
- Bowling Green, KY
- NPI 1033783550
-
dba Med Center Health Plastic & Reconstructive Surgery
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Greenview Regional Hospital
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1871547703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1497382758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161 STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382241",
"telephone_number": "214-687-0001",
"fax_number": "972-518-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161 STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382241",
"telephone_number": "214-687-0001",
"fax_number": "972-518-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "JENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "141867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.