Active NPI
Jenny M Polian, CRNA
- Certified Registered Nurse Anesthetist
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP131890
- Practice address
- 1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769 - Phone
- (979) 776-4777
- Fax
- (979) 776-0588
- NPI assigned
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN13090 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 78189 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | AP131890 | TX | Primary |
Addresses
Primary practice location
1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Mailing address
1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Phone (979) 776-4777
Other practice location 1
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620931432 | Other | TN | TRICARE REGION SOUTH |
| 365221601 | Medicaid | TX | |
| 100437 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpolian819576@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-5800
140 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-8330
150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
50 Hillcrest Medical Blvd
Suite 201B
Waco, TX 76712-8954
Phone (254) 297-0515
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13090 | TN | MD | Neurology Physician |
| 78189 | TN | MD | Certified Registered Nurse Anesthetist |
| APN13090 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group, PLLC | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Medical Group, PC | Current | Accepting new patients | |
| Scott & White Clinic | Anesthesiology | Current | Accepting new patients |
| Anesthesia Medical Group, PC | Anesthesiology | Current | Accepting new patients |
| Scott and White Clinic | Anesthesiology | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
1737 Briarcrest Dr
Ste 14
Bryan, TX 77802
Phone (409) 776-4777
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000
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.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Anesthesiology
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1215932413
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- Pain Medicine (Anesthesiology) Physician
- Nashville, TN
- NPI 1417225897
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center Hillcrest
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1922283860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 BRIARCREST DR",
"address_2": "SUITE 14",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022769",
"telephone_number": "979-776-4777",
"fax_number": "979-776-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 BRIARCREST DR",
"address_2": "SUITE 14",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022769",
"telephone_number": "979-776-4777",
"fax_number": "979-776-0588"
}
],
"practiceLocations": [
{
"address_1": "100 Hillcrest Medical Blvd",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767128897",
"country_code": "US",
"telephone_number": "254-202-2000",
"fax_number": "254-202-5849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLIAN",
"first_name": "JENNY",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN13090",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "78189",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP131890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE REGION SOUTH",
"identifier": "620931432",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "365221601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100437",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpolian819576@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Hillcrest Medical Blvd",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128897",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.