RYAN SCOTT JENSEN CRNA
NPI 1649696576
Nurse Anesthetist, Certified Registered in Mesa, AZ

Active since March 17, 2014Accepts Medicare Assignment
4838 E. BASELINE ROAD, SUITE 108, MESA, AZ 85206(480) 981-2400(480) 981-2407 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ryan Scott Jensen Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN SCOTT JENSEN CRNA (NPI 1649696576) is an individual nurse anesthetist, certified registered in Mesa, Arizona, licensed in Arizona (RN184212) and active in the NPI registry since March 2014. He is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2014).

NPPES Registry Identity

NPI1649696576
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRYAN SCOTT JENSENCredential: CRNA
Location Address4838 E. BASELINE ROAD, SUITE 108Mesa, AZ 85206-4672
Mailing Address4838 E. Baseline Road, Suite 108Mesa, AZ 85206-4672 · (480) 981-2400 · Fax (480) 981-2407
Fax(480) 981-2407
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 17, 2014
✔ NPI 1649696576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AZ · RN184212
Definition
(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.
4838 E. BASELINE ROAD, Mesa, AZ 85206

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Scott Jensen Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133343601
PECOS Enrollment IDI20160406001485

Medicare Billing Reassignments

2

Medicare enrollment records show Ryan Jensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
338 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 233 clinicians in this Medicare group
Anesthesiology
875 S VANGUARD WAY
Meridian, ID 83642
  • Reassigned Medicare billing, Idaho enrollment
  • 25 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
4838 E. BASELINE ROAD, SUITE 108
MESA, AZ 85206
Nurse Anesthetist, Certified Registered
4838 E. BASELINE ROAD, SUITE 108
MESA, AZ 85206
Nurse Anesthetist, Certified Registered
4838 E. BASELINE ROAD, SUITE 108
MESA, AZ 85206
Nurse Anesthetist, Certified Registered
4838 E. BASELINE ROAD, SUITE 108
MESA, AZ 85206

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 Ryan Jensen's NPI number?

The NPI number for Ryan Jensen is 1649696576. It was assigned to this individual provider in the NPPES registry on March 17, 2014.

Where is Ryan Jensen located?

Ryan Jensen practices at 4838 E. Baseline Road Suite 108, Mesa, AZ 85206. The listed phone number is (480) 981-2400.

What is Ryan Jensen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ryan Jensen enrolled in Medicare?

Yes. Ryan Jensen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ryan Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Jensen reassigns Medicare benefits to 2 organizations: Anesthesia Associates Of Boise, P.A. (Boise, ID) and Intermountain Ambulatory Anesthesia PLLC (Meridian, ID). Each 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 Ryan Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ryan Jensen affiliated with any hospitals?

According to CMS data, Ryan Jensen is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Jensen was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.