Individual provider Active NPI

Sheila Jensen, CRNA

  • Certified Registered Nurse Anesthetist
  • Anchorage, AK
National Provider Identifier
1629015722
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
195 Issued in AK
Practice address
1600 A St Ste 200
Anchorage, AK 99501-5147
Phone
(907) 272-2423
Fax
(907) 272-2428
NPI assigned
May 31, 2006
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 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 195 AK Primary

Addresses

Primary practice location

1600 A St Ste 200
Anchorage, AK 99501-5147

Mailing address

4424 E Birch Dr
Wasilla, AK 99654-4510
Phone (907) 357-8124

Other practice location 1

250 Hospital Pl
Soldotna, AK 99669-7559
Phone (907) 714-4479

Other identifiers 7

IdentifierTypeStateIssuer
P00098550OtherAKRR MEDICARE
020257499OtherAKACA ENERGY EMP GROUP#
1030921MedicaidAK
CI9459OtherAKACA GROUP RR MCR #
K151896OtherAKMEDICARE AK
P00435944OtherWARR MEDICARE
193975000OtherAKACA FED DOL#

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asc.pclianchorage.p1@direct.pcli.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000032 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153315940 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
195AKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Associates, PC CurrentSince Apr 1, 2003 Accepting new patients
Chugach Anesthesia, LLC CurrentSince Feb 28, 2008 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. PastSince Nov 5, 2003 Accepting new patients
Kenai Peninsula Anesthesia, LLC Past Accepting new patients

Locations

1230 Northway Dr
Anchorage, AK 99508
Phone (907) 550-6100

4100 Lake Otis Pkwy
Anchorage, AK 99508
Phone (907) 550-6100

4100 Lake Otis Pkwy
Ste 209
Anchorage, AK 99508
Phone (907) 563-3169

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Interoperability endpoints

  • Direct secure messaging: sheila.jensen.p1@direct.pcli.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1629015722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 E BIRCH DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996544510",
            "telephone_number": "907-357-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 A ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015147",
            "telephone_number": "907-272-2423",
            "fax_number": "907-272-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Hospital Pl",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697559",
            "country_code": "US",
            "telephone_number": "907-714-4479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SHEILA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00098550",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACA ENERGY EMP GROUP#",
            "identifier": "020257499",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030921",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACA GROUP RR MCR #",
            "identifier": "CI9459",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE AK",
            "identifier": "K151896",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00435944",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACA FED DOL#",
            "identifier": "193975000",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asc.pclianchorage.p1@direct.pcli.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1600 A St Ste 200",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995015147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.