Patrick M Jenkins, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

504989 Issued in TX

Practice address

100 Hillcrest Medical Blvd
Waco, TX 76712-8897

Phone

(254) 202-2000

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

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.

• Anesthesia Healthcare Partners of Laredo, P. a.

  • Anesthesiology Physician
  • Laredo, TX
  • NPI 1992739916
  NPD (past)
• Denton Anesthesiology Associates, PA

  • Anesthesiology Physician
  • Denton, TX
  • NPI 1588622815

  Nurse Anesthetist, Certified Registered

  NPD (past)
• North Texas Anesthesiology,PLLC

  • Specialist
  • Denison, TX
  • NPI 1003920828
  NPD (past)
• R Lee Ennis MD PA

  • Anatomic Pathology Physician
  • Denison, TX
  • NPI 1457629503
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1497722813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HILLCREST MEDICAL BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128897",
            "telephone_number": "254-202-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 W Morton St",
            "address_2": "STE 146",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750201476",
            "country_code": "US",
            "telephone_number": "903-465-6043",
            "fax_number": "903-463-4496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "PATRICK",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "504989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100784570A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RE-CERT #",
            "identifier": "046912",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "86117U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayesh S. Patel, DDS, PA
• Jeff Bauer, D.D.S., PLLC
• Jennifer Jefferson, LCSW
• Jeffrey T Manning MD PA
• Derrel Jeffrey, LCSW
• Corey Jensen, LCSW
• Randall D. Jensen, M.D.
• Meredith McCoy Jergins, PA-C
• Floyd Edsil Jernigan, M.D.
• Jyotsna Jerome

• Certified Registered Nurse Anesthetist in Waco, TX
• Providers in Waco, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.