Individual provider Active NPI

Ryan Delane Jenkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1891254595
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
202504 Issued in LA
Practice address
8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827
Phone
(225) 214-6438
NPI assigned
Mar 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 202504 LA Primary

Addresses

Primary practice location

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827

Mailing address

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816-0406
Phone (225) 214-6438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401001880 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840531893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Group Associates IncGroup PAC ID 0042110298, 155 clinicians

Practice addresses (Care Compare)

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827
Phone (225) 408-8080

Hospital & facility affiliations

  • Surgical Specialty Center of Baton Rouge Hospital, Baton Rouge, LA, CCN 190251

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Professionals, Inc. Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Jan 21, 2020 Accepting new patients
St. Tammany Pathology Past Accepting new patients

Locations

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

8080 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 408-8080

7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

1111 Medical Center Blvd
Ste S460
Marrero, LA 70072
Phone (504) 265-9582

3333 Kingman St
Ste 202
Metairie, LA 70006
Phone (504) 208-1540

2820 Napoleon Ave
Ste 700
New Orleans, LA 70115
Phone (504) 412-1310

764 N Acadia Rd
#B
Thibodaux, LA 70301
Phone (958) 446-1958

Organizations & group practices 4

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 1

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1891254595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 LAKE SHERWOOD AVE N",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160406",
            "telephone_number": "225-214-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-214-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RYAN",
        "middle_name": "DELANE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "202504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.