Susan Diane Jenkins
COFFEYVILLE REGIONAL MEDICAL CENTER INC


Address: 1400 W 4th St, Coffeyville, KS 67337-3306
Phone: 6202511200

Susan Diane Jenkins (NPI# 1154434686, PAC ID# 8224034483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1154434686
PAC ID by PECOS 8224034483
Professional Enrollment ID I20061011000151
Full Name Susan Diane Jenkins
Organization Legal Name COFFEYVILLE REGIONAL MEDICAL CENTER INC
Address 1400 W 4th St
Coffeyville
KS 67337-3306
Phone Number 6202511200
Gender F
Graduation Year 2006
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 9032108865
Number of Group Practice Members 24
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
170145 COFFEYVILLE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1400 W 4th St, Coffeyville, KS 67337-3306 6202511200 COFFEYVILLE REGIONAL MEDICAL CENTER INC
1 Hospital Dr, Columbia, MO 65212-0001 5738824141 THE CURATORS OF THE UNIVERSITY OF MISSOURI
404 N Keene St, Columbia, MO 65201-6626 5738759000 THE CURATORS OF THE UNIVERSITY OF MISSOURI

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_426_overall Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) 100%

Organization Information

Organization Legal Name COFFEYVILLE REGIONAL MEDICAL CENTER INC
Physicians 20

Physicians with the same organization

Name Specialty Organization Address
Stephen A Miller Obstetrics/gynecology Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Mary Beth Hartley Nurse Practitioner Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Gery Hsu Neurosurgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Chad Young Mccready Physician Assistant Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Bernard E Howerter Urology Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Bridget Gibson Family Medicine Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Julia Dawn Moses Certified Registered Nurse Anesthetist (crna) Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville Regional Medical Center LLC, Coffeyville, KS 67337-3306
Dara T Gibson Obstetrics/gynecology Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Sunil Menon Orthopedic Surgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Michelle M Mcguirk General Surgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Crmc Medical Group, Coffeyville, KS 67337-3306

Office Location

Street Address 1400 W 4TH ST
City COFFEYVILLE
State KS
Zip 67337-3306

Physicians in the same location

Name Specialty Organization Address
Mary Beth Hartley Nurse Practitioner Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Gery Hsu Neurosurgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Chad Young Mccready Physician Assistant Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Bernard E Howerter Urology Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Emily Anne Williams Emergency Medicine Green Country Emergency Physicians Group of Tulsa, Pllc 1400 W 4th St, Coffeyville Medical Center Emerg Dept, Coffeyville, KS 67337-3306
Julia Dawn Moses Certified Registered Nurse Anesthetist (crna) Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville Regional Medical Center LLC, Coffeyville, KS 67337-3306
Sunil Menon Orthopedic Surgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Michelle M Mcguirk General Surgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Crmc Medical Group, Coffeyville, KS 67337-3306
Craig Allen Kennedy Emergency Medicine Green Country Emergency Physicians Group of Tulsa, Pllc 1400 W 4th St, Coffeyville Medical Center Emerg Dept, Coffeyville, KS 67337-3306
Shravan Gangula Family Medicine Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Emily K Bolinger Nurse Practitioner Community Health Center of Southeast Kansas Inc 102 Cline Rd, Coffeyville, KS 67337-3022
Jen Wong Diagnostic Radiology Radiological Services, Inc 1400 W, 4th, Coffeyville, KS 67337-3306
Garrick A Rettele Ophthalmology 1400 W 4th Crmc 3rd Floor, Coffeyville, KS 67337-3306
Barry Curtis Phillips Nurse Practitioner Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Jeffrey Allen Coldwell Emergency Medicine Green Country Emergency Physicians Group of Tulsa, Pllc 1400 W 4th St, Coffeyville Medical Center Emerg Dept, Coffeyville, KS 67337-3306
Heather Lee Pollet Nurse Practitioner Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
James B Hensel Emergency Medicine Green Country Emergency Physicians Group of Tulsa, Pllc 1400 W 4th St, Coffeyville Medical Center Emerg Dept, Coffeyville, KS 67337-3306
Baba Abudu Anesthesiology Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville Regional Medical Center LLC, Coffeyville, KS 67337-3306
Russell B Allison Orthopedic Surgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
John F Line Physician Assistant Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Find all physicians in zip 67337

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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