Jennifer Grace Zielke, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

738696 Issued in TX

Practice address

1307 8TH Ave Ste 506
Fort Worth, TX 76104-4142

Phone

(817) 332-6092

NPI assigned

Dec 4, 2012

Sex

Female

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

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Spine Team Texas PAGroup PAC ID 6507888757, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Spine Team Texas PA

  • Neurological Surgery Physician
  • Southlake, TX
  • NPI 1629082995
  Medicare reassignment Care Compare group NPD
• Arlington Anesthesia Group, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1023483153
  Medicare reassignment NPD
• Clearwater Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
  • NPI 1538170485

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lewis 360 Medical Solutions PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1932509635
  Medicare reassignment NPD
• M&E Anesthesia Services PLLC

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
  • NPI 1568056240

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• South Arlington Surgical Providers, LLC

  • Ambulatory Surgical Clinic/Center
  • Arlington, TX
  • NPI 1902844426
  NPD
• Spine Team Texas, PA

  • Physical Medicine & Rehabilitation Physician
  • Allen, TX
  • NPI 1053798983
  NPD
• Spine Team Texas, PA

  • Specialist
  • Rockwall, TX
  • NPI 1609009505
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1629313564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE STE 506",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044142",
            "telephone_number": "817-332-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 Lbj Fwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406533",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043902",
            "country_code": "US",
            "telephone_number": "817-347-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIELKE",
        "first_name": "JENNIFER",
        "middle_name": "GRACE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "738696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312727602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8791UG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P01446813",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nauman Syed Zia, PHARMD
• Catherine Ziats, MD
• Mark Nicholas Ziats, MD, PHD
• Brenda Huitt Ziegler, RN-FNP
• Daniel W Ziegler, MD
• Miranda Ziesman
• Lisa Weber Zimmerer, PA-C
• Cindy Marie Zimmerman, O.D.
• Hayley Zimmerman
• Jason A Zimmerman, D.D.S., M.S.

• Certified Registered Nurse Anesthetist in Fort Worth, TX
• Providers in Fort Worth, 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 Dec 18, 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.

Verify at the official NPI Registry.