Individual provider Active NPI

Jenna Winkler, CRNA

  • Certified Registered Nurse Anesthetist
  • Weirton, WV
National Provider Identifier
1538609698
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
78826 Issued in WV
Practice address
601 Colliers Way
Weirton, WV 26062-5014
Phone
(304) 233-2455
NPI assigned
Mar 8, 2017
Last updated
May 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 78826 WV Primary

Addresses

Primary practice location

601 Colliers Way
Weirton, WV 26062-5014

Mailing address

109 Mount Wood Rd Ste 1
Wheeling, WV 26003-2632
Phone (304) 233-2455

Other names 1

  • Jenna L Shimmel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170417000905 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941586473 Reassigns benefits to 2 organizations
I20220617002597 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941586473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weirton Medical Center IncGroup PAC ID 6709771827, 23 clinicians

Practice addresses (Care Compare)

601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
78826WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Weirton Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2020 Accepting new patients
Weirton Medical Center Inc Current Accepting new patients
Trinity Hospital Holding Company CurrentSince May 6, 2022 Accepting new patients
Trinity Hospital Holding Company Current Accepting new patients
Weirton Medical Center Inc CurrentSince Jan 14, 2020 Accepting new patients

Locations

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146

109 Mount Wood Rd
#1
Wheeling, WV 26003

Organizations & group practices 6

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.

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": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1538609698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MOUNT WOOD RD STE 1",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032632",
            "telephone_number": "304-233-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625014",
            "telephone_number": "304-233-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "JENNA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "78826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "SHIMMEL",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.