Active NPI
Jason Shane Bruce, CRNA
- Certified Registered Nurse Anesthetist
- Okmulgee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R 0085091
- Practice address
- 1401 Morris Dr
Okmulgee, OK 74447-6429 - Phone
- (918) 756-3177
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R 0085091 | OK | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 2004003392 | MO |
Addresses
Primary practice location
1401 Morris Dr
Okmulgee, OK 74447-6429
Mailing address
18162 Old Morris Hwy
Okmulgee, OK 74447
Phone (918) 733-9824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1027 E Cherry St
HC Hosp Cushing
Cushing, OK 74023-4101
Phone (918) 225-2915
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 48.28 of 100
- Quality
- 21.69
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 0085091 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Oklahoma, PLLC | Current | Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Labette County Medical Center | Current | Accepting new patients | |
| Freeman Neosho Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Omh Home Health | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
12451 E 100th St N
Owasso, OK 74055
Phone (918) 274-5000
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, OK
-
dba LCMC ER Physician Group
- Family Medicine Physician
- Parsons, KS
- NPI 1336133362
-
dba Labette Health Pittsburg Clinic
- Rural Health Clinic/Center
- Pittsburg, KS
- NPI 1205524113
-
dba Specialty Group of Labette Health
- Anesthesiology Physician
- Parsons, KS
- NPI 1811981293
-
- Home Health Agency
- Okmulgee, OK
- NPI 1831191543
-
dba Freeman Neosho Anesthesiology
- Anesthesiology Physician
- Neosho, MO
- NPI 1164451746
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HIllcrest Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740218866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18162 OLD MORRIS HWY",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "74447",
"telephone_number": "918-733-9824",
"fax_number": "918-733-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MORRIS DR",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744476429",
"telephone_number": "918-756-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "JASON",
"middle_name": "SHANE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R 0085091",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2004003392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.