Individual provider Active NPI

Jennifer Diekhoff, CRNA

  • Certified Registered Nurse Anesthetist
  • Westport, IN
National Provider Identifier
1841567971
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
88851 Issued in IN
Practice address
11740 S County Road 150 W
Westport, IN 47283-9043
Phone
(812) 591-8231
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28147279A IN
Certified Registered Nurse Anesthetist 367500000X 88851 IN Primary

Addresses

Primary practice location

11740 S County Road 150 W
Westport, IN 47283-9043

Mailing address

11740 S County Road 150 W
Westport, IN 47283-9043
Phone (812) 591-8231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120404000805 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002076775 Reassigns benefits to 3 organizations
I20150708002063 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002076775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogi Anesthesia, LLCGroup PAC ID 8224290598, 35 clinicians
Louisville Anesthesia Provision LLCGroup PAC ID 2567533839, 23 clinicians

Practice addresses (Care Compare)

2925 Vernon PL
Suite 101
Cincinnati, OH 45219-2425
Phone (513) 872-4541

3135 Middle Rd
Columbus, IN 47203-4472
Phone (812) 373-7777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88851INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Ogi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2024 Accepting new patients
Amsurg Cincinnati Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Louisville Anesthesia Provision LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 2, 2019 Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Jackson County Schneck Memorial Hospital Past Accepting new patients
Obstetric Anesthesia Associates Inc. Past Accepting new patients

Locations

3135 Middle Rd
Columbus, IN 47203
Phone (812) 373-7777

L6147
Cincinnati, OH 45270

2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

9275 Montgomery Rd
Montgomery, OH 45242
Phone (513) 936-4510

9275 Montgomery Rd
Ste 400
Montgomery, OH 45242
Phone (513) 936-4518

4746 Montgomery Rd
Ste 100
Norwood, OH 45212
Phone (513) 569-1310

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1841567971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 S COUNTY ROAD 150 W",
            "city": "WESTPORT",
            "state": "IN",
            "postal_code": "472839043",
            "telephone_number": "812-591-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 S COUNTY ROAD 150 W",
            "city": "WESTPORT",
            "state": "IN",
            "postal_code": "472839043",
            "telephone_number": "812-591-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEKHOFF",
        "first_name": "JENNIFER",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28147279A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "88851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.