Individual provider Active NPI

Jericho Gerald Joseph Loupe, CRNA

  • Certified Registered Nurse Anesthetist
  • San Marcos, TX
National Provider Identifier
1992908321
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
686187 Issued in TX
Practice address
1305 Wonder World Dr Ste 105
Yps-Credentialing
San Marcos, TX 78666-7502
Phone
(512) 353-8161
Fax
(512) 353-8255
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 686187 TX Primary

Addresses

Primary practice location

1305 Wonder World Dr Ste 105
Yps-Credentialing
San Marcos, TX 78666-7502

Mailing address

13501 Settlers TRL
Dripping Springs, TX 78620-4391
Phone (956) 330-1089

Other identifiers 3

IdentifierTypeStateIssuer
158772704MedicaidTX
P01163791OtherTXRR MEDICARE
8869UDOtherTXBCBS OF TX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040110000081 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385544956 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

130 Hays St
Luling, TX 78648-3207
Phone (830) 875-7000

Hospital & facility affiliations

  • Ascension Seton Highland Lakes Hospital, Burnet, TX, CCN 451365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000TXMDOral and Maxillofacial Surgery (Dentist)
686187TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2013 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2009 Accepting new patients
Cahrmc CurrentSince May 16, 2022 Accepting new patients
Cahrmc CurrentSince May 16, 2022 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Mid-Valley Physician Association Past Accepting new patients
Knapp Medical Center Past Accepting new patients

Locations

600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571

1011 S Dill St
East Bernard, TX 77435
Phone (979) 335-4433

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

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 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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1992908321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 SETTLERS TRL",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204391",
            "telephone_number": "956-330-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR STE 105",
            "address_2": "YPS-CREDENTIALING",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667502",
            "telephone_number": "512-353-8161",
            "fax_number": "512-353-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUPE",
        "first_name": "JERICHO",
        "middle_name": "GERALD JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "686187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158772704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01163791",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8869UD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.