MS. SHIRLEY A JAUTZ CRNA NPI 1003007329

Nurse Anesthetist, Certified Registered in Poplar Bluff, MO

NPI 1003007329 Individual Female Nurse Anesthetist, Certified Registered

About SHIRLEY JAUTZ

Shirley Jautz is a provider established in Poplar Bluff, Missouri and her medical specialization is nurse anesthetist, certified registered. The NPI number of Shirley Jautz is 1003007329 and was assigned on August 2007. The practitioner's primary taxonomy code is 367500000X with license number 129615 (MO). The provider is registered as an individual and her NPI record was last updated 7 years ago.

Shirley Jautz is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003007329

Provider NameMS. SHIRLEY A JAUTZ CRNA
Provider Location Address221 PHYSICIANS PARK POPLAR BLUFF, MO 63901
Provider Mailing Address5983 US HIGHWAY 63 POMONA, MO 65789
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-05-2007
Last Update Date04-09-2014


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.129615
License StateMO
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Business Address

MS. SHIRLEY A JAUTZ CRNA
221 PHYSICIANS PARK
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 727-9080

Get Directions


Mailing Address

MS. SHIRLEY A JAUTZ CRNA
5983 US HIGHWAY 63
POMONA, MO
ZIP 65789
Phone: (573) 686-5550
Fax: (573) 686-2139



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
917851503MEDICAID (05)MO
818074008MEDICARE PIN (08)MO

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407845472POPLAR BLUFF MEDICAL PARTNERS, LLC
Organization
Clinic/Center (Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1679550784ZUBRES RADIOLOGY INC
Organization
Radiology (Diagnostic Ultrasound)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1932186004 DONNA L ALMOND D.O.
Individual
Radiology (Diagnostic Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1326025412HEARTLAND RADIOLOGY, INC.
Organization
Radiology (Diagnostic Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1811030737DR. CATHY JO PARSELLS D.O.
Individual
Radiology (Diagnostic Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1679859219VISIONARY RADIOLOGY, PC
Organization
Radiology (Diagnostic Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1033536974RAY E PETERS DO INC
Organization
Internal Medicine (Hematology & Oncology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 778-9422
1750328449DR. RAY E. PETERS JR. D.O
Individual
Internal Medicine (Hematology & Oncology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(208) 664-4026

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.