| Loricia Lea Jenkins, CRNA | |
| 
					1209 Nw North Ridge Drive, Suite B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64014-6320  | |
| (816) 988-8415 | |
| (816) 988-8395 | 
| Full Name | Loricia Lea Jenkins | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1209 Nw North Ridge Drive, Suite B, Blue Springs, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821214438 | NPI | - | NPPES | 
| 200504010A | Medicaid | KS | |
| 915473904 | Medicaid | MO | |
| P00430884 | Other | KS | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 55593 (Kansas) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 2007012542 (Missouri) | Primary | 
| Entity Name | Anesthesia Associates Of Kansas City Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20031201000810  | 
| Entity Name | Meritas Health Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058  | 
| Entity Name | Heartland Regional Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201  | 
| Entity Name | Outpatient Anesthesia Specialists Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194828673 PECOS PAC ID: 8325930803 Enrollment ID: O20040329000795  | 
| Entity Name | Midwest Digestive Health Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821324260 PECOS PAC ID: 4587601497 Enrollment ID: O20091203000735  | 
| Entity Name | Mosaic Medical Center - Maryville | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Loricia Lea Jenkins, CRNA 25012 W. 86th Terrace, Lenexa, KS 66227-3522 Ph: (316) 304-3144  | Loricia Lea Jenkins, CRNA 1209 Nw North Ridge Drive, Suite B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64014-6320 Ph: (816) 988-8415  | 
Timothy D Fundenberger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395  | |
Mr. Jeremy Michael Daves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Anesthesia Services Of Blue Springs/st. Mary's Medical, Blue Springs, MO 64014 Phone: 816-988-8415 Fax: 816-335-4003  | |
Mrs. Brenda Rae Rutherford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 Nw North Ridge Drive, Suite B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395  | |
Dina Lynn Lutjen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1209 Nw North Ridge Dr, Suite B, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395  | |
Leon F Gooden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Blue Springs, MO 64014 Phone: 816-228-5900  | |
Denise A Wilson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395  | |
Jayme H. Thorpe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Blue Springs, MO 64014 Phone: 816-228-5900  |