Active NPI
Elizabeth Cluney Jenkins, CRNA
- Certified Registered Nurse Anesthetist
- Carrollton, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3018044
- Practice address
- 309 11TH St
Carrollton, KY 41008-1435 - Phone
- (502) 662-0339
- Fax
- (502) 852-3762
- NPI assigned
- Dec 7, 2015
- Last updated
- May 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28245791C | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 3018044 | KY | Primary |
Addresses
Primary practice location
309 11TH St
Carrollton, KY 41008-1435
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300018125 | Medicaid | IN | |
| 7100562730 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3920 Dutchmans LN
Louisville, KY 40207-4702
Phone (502) 852-5341
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28245791C | IN | MD | Registered Nurse |
| 3018044 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton - Kings Daughters Health Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apollo Medical Group of Jeffersonville LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Greater Louisville Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Tristate Pathology and Forensic Services LLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
2990 Gottbrath Pkwy
Jeffersonvlle, IN 47130
Phone (812) 670-0990
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
630 Broadway St
Madison, IN 47250
Phone (812) 265-0801
309 11th St
Carrollton, KY 41008
Phone (502) 732-3241
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Anesthesiology Physician
- La Grange, KY
- NPI 1326126681
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jeffersonville, IN
- NPI 1124607205
Nurse Anesthetist, Certified Registered
-
dba Norton King's Daughters' Health
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
Nurse Anesthetist, Certified Registered
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
dba ULP Oncology
- Hematology & Oncology Physician
- Louisville, KY
- NPI 1831464940
-
dba Kings Daughters Health
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceburg, IN
- NPI 1649720244
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carroll County Memorial Hospital
- Critical Access Hospital
- Carrollton, KY
- NPI 1225159601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1649645383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 11TH ST",
"city": "CARROLLTON",
"state": "KY",
"postal_code": "410081435",
"telephone_number": "502-662-0339",
"fax_number": "502-852-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ELIZABETH",
"middle_name": "CLUNEY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28245791C",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3018044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300018125",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100562730",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.