Active NPI
Jericho Gerald Joseph Loupe, CRNA
- Certified Registered Nurse Anesthetist
- San Marcos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 686187
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158772704 | Medicaid | TX | |
| P01163791 | Other | TX | RR MEDICARE |
| 8869UD | Other | TX | BCBS OF TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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
Practice addresses (Care Compare)
130 Hays St
Luling, TX 78648-3207
Phone (830) 875-7000
Hospital & facility affiliations
- Ascension Seton Highland Lakes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
| 686187 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cahrmc | Current | Accepting new patients | |
| Cahrmc | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Eagle Lake, TX
- NPI 1205164928
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Geriatric Psychiatry Physician
- Eagle Lake, TX
- NPI 1326560442
-
- General Acute Care Hospital
- Weslaco, TX
- NPI 1861488579
-
- Anesthesiologist Assistant
- Weslaco, TX
- NPI 1548348618
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Burnet, TX
- NPI 1003833013
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.