Individual provider Active NPI

Jane E Keith, CRNA

  • Certified Registered Nurse Anesthetist
  • Bartlesville, OK
National Provider Identifier
1831161538
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R 0045073 Issued in OK
Practice address
3615 SE Kentucky St
Bartlesville, OK 74006-2324
Phone
(918) 333-2020
Fax
(918) 333-2020
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 209003970 IL
Certified Registered Nurse Anesthetist 367500000X 209003970 IL
Certified Registered Nurse Anesthetist 367500000X R 0045073 OK Primary

Addresses

Primary practice location

3615 SE Kentucky St
Bartlesville, OK 74006-2324

Mailing address

PO Box 1553
Owasso, OK 74055-1553
Phone (312) 203-1745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000584 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406759737 Reassigns benefits to 4 organizations
Practice locations: Bartlesville, OK

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

3029 W Main St
Jenks, OK 74037-3465
Phone (918) 701-2300

Hospital & facility affiliations

  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 0045073OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC CurrentSince Jan 12, 2023 Accepting new patients
Grove General Hospital Past Accepting new patients
Midwest Anesthesiologists, LTD. Past Accepting new patients
Newton Anesthesia Services PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Allied Anesthesia Associates, P.C. Past Accepting new patients
Anesthesiologists of Bartlesville Past Accepting new patients
Novamed Surgery Center of Chicago-Northshore, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Mayes County Hma, LLC Past Accepting new patients
MN Anesthesia LLC Past Accepting new patients

Locations

230 SE Howard Ave
Bartlesville, OK 74006
Phone (918) 331-1555

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

7191 S Yale Ave
Tulsa, OK 74136
Phone (417) 782-6571

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1831161538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1553",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740551553",
            "telephone_number": "312-203-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SE KENTUCKY ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062324",
            "telephone_number": "918-333-2020",
            "fax_number": "918-333-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "209003970",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209003970",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R 0045073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.