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JEFFREY TEVIN HEN CRNA
NPI 1972173185
Nurse Anesthetist, Certified Registered in Stockton, CA

Active since June 29, 2021Accepts Medicare Assignment
4009 KENNY DR, STOCKTON, CA 95212(209) 616-2310 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Jun 29, 2021 (2 updates tracked since 2021).

About Jeffrey Tevin Hen Crna NPPES

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

JEFFREY TEVIN HEN CRNA (NPI 1972173185) is an individual nurse anesthetist, certified registered in Stockton, California, licensed in California (95002301) and active in the NPI registry since June 2021. He maintains 2 additional practice locations and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972173185
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEFFREY TEVIN HENCredential: CRNA
Location Address4009 KENNY DRStockton, CA 95212-3458
Mailing Address4009 Kenny DrStockton, CA 95212-3458 · (209) 616-2310
Phone(209) 616-2310
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 29, 2021
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1972173185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002301
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.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95159147 (CA)
4009 KENNY DR, Stockton, CA 95212
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Secondary Practice Locations 2

Location 12702 Low CtFairfield, CA 94534-9771 · Phone (916) 733-8222 · Fax (916) 733-8224
Location 2460 Plumas Blvd Ste 202Yuba City, CA 95991-5005 · Phone (530) 749-5700 · Fax (530) 749-5720

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

Jeffrey Tevin Hen 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 ID4284072521
PECOS Enrollment IDI20240404003198

Medicare Billing Reassignments

4

Medicare enrollment records show Jeffrey Hen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Valley Medical Foundation
4.5 mi
Ambulatory Surgical
8011 DON AVE
Stockton, CA 95209
NPI 1467825844 (209) 955-3001
Anesthesia Services Of San Joaquin, P.C.
9.8 mi
Anesthesiology
500 W HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Anesthesia Services Of San Joaquin PC
  • 217 clinicians in this Medicare group
NPI 1366778227 (877) 580-3144
Green Anesthesia
47 mi
Nurse Anesthetist, Certified Registered
2700 LOW CT FL 2
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 64 clinicians in this Medicare group
NPI 1457039331 (707) 432-2700
Valley Regional Anesthesia Associates Inc
116 mi
Anesthesiology
7341 N 1ST ST STE 106
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 293 clinicians in this Medicare group
NPI 1578272415 (559) 289-4574

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95212 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Jeffrey Hen's NPI number?

The NPI number for Jeffrey Hen is 1972173185. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Jeffrey Hen located?

Jeffrey Hen practices at 4009 Kenny Dr, Stockton, CA 95212. The listed phone number is (209) 616-2310.

What is Jeffrey Hen's specialty?

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

Is Jeffrey Hen enrolled in Medicare?

Yes. Jeffrey Hen 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 Jeffrey Hen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Hen reassigns Medicare benefits to 4 organizations: Sutter Valley Medical Foundation (Stockton, CA), Anesthesia Services Of San Joaquin, P.C. (French Camp, CA), Green Anesthesia (Fairfield, CA) and Valley Regional Anesthesia Associates Inc (Fresno, CA). 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 Jeffrey Hen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Hen was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.