Individual provider Active NPI

Karen A Jahnke, MD

  • Pediatrics Physician
  • Corsicana, TX
National Provider Identifier
1669446100
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K1482 Issued in TX
Practice address
400 Hospital Dr
Suite 208
Corsicana, TX 75110-2489
Phone
(903) 641-4800
Fax
(903) 641-4822
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K1482 TX Primary

Addresses

Primary practice location

400 Hospital Dr
Suite 208
Corsicana, TX 75110-2489

Mailing address

301 Hospital Dr
Corsicana, TX 75110-2471
Phone (903) 641-4800

Other identifiers 3

IdentifierTypeStateIssuer
121233404MedicaidTX
121233406MedicaidTX
8W4548OtherTXBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karen.jahnke.7@1902.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707001094 TX Practitioner - Pediatric Medicine 1557307899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Oct 1, 2007 Accepting new patients
Navarro Hospital LP Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Oct 1, 2007 Accepting new patients
Regional Employee Assistance Program Inc Pediatrics Current Accepting new patients
Navarro Hospital LP Pediatrics CurrentSince Jan 14, 2017 Accepting new patients
Navarro Hospital LP Past Accepting new patients
Navarro Hospital LP Past Accepting new patients

Locations

301 Hospital Dr
#150
Corsicana, TX 75110
Phone (903) 641-4800

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

400 Hospital Dr
Ste 208
Corsicana, TX 75110
Phone (903) 641-4800

301 Hospital Dr
Ste 150
Corsicana, TX 75110
Phone (903) 641-4800

301 Hospital Dr
Corsicana, TX 75110
Phone (903) 641-4800

Interoperability endpoints

  • Direct secure messaging: karen.jahnke.7@1902.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1669446100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102471",
            "telephone_number": "903-641-4800",
            "fax_number": "903-641-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL DR",
            "address_2": "SUITE 208",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102489",
            "telephone_number": "903-641-4800",
            "fax_number": "903-641-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNKE",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121233404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121233406",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8W4548",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.jahnke.7@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "400 Hospital Dr",
            "address_2": "Suite 208",
            "city": "Corsicana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751102489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.