JESSE SUPERNAW
NPI 1619617065
Anesthesiology in Temple, TX
About Jesse Supernaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE SUPERNAW (NPI 1619617065) is an individual anesthesiology provider in Temple, Texas, licensed in Texas (W7465) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jesse Supernaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jesse Supernaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Temple, TX 76508
- Reassigned Medicare billing, Texas enrollment
- 2,795 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jesse Supernaw's NPI number?
The NPI number for Jesse Supernaw is 1619617065. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Jesse Supernaw located?
Jesse Supernaw practices at 2401 S 31st St, Temple, TX 76508. The listed phone number is (254) 724-5306.
What is Jesse Supernaw's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Jesse Supernaw enrolled in Medicare?
Yes. Jesse Supernaw is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jesse Supernaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Supernaw reassigns Medicare benefits to Scott & White Clinic (Temple, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Supernaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Supernaw accept?
Health plans from Blue Cross and Blue Shield of Texas list Jesse Supernaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jesse Supernaw was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jesse Supernaw · NPI 1619617065
Anesthesiology physician in Temple, Texas. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1619617065 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** W7465 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 S 31ST ST, Temple, TX 76508-0001
- **Phone:** (254) 724-5306
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Scott & White Clinic (NPI 1093779704, Temple, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1619617065) · Data from the CMS NPPES public registry.