MRS. IVY LEVERETT JENKINS (CRNA) – Registered Nurse, NPI 1104043082

MRS. IVY LEVERETT JENKINS (CRNA) is a healthcare provider. based in Nashville, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APN12405 (TN). The NPI Number for MRS. IVY LEVERETT JENKINS (CRNA) is 1104043082

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. IVY LEVERETT JENKINS (CRNA)
NPI
1104043082
Phone
(615) 327-4304
Address
110 29TH AVE N
Enumeration Date
20 April 2007
Last Update Date
15 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4062837000
Graduation Year
2006 (20 years ago)
PAC ID
6507957040
Group Practice PAC ID
1557255676
Professional Enrollment ID
I20200408003471
Address ID
MT599232001LI209XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for MRS. IVY LEVERETT JENKINS (CRNA)

  • 110 29TH AVE N

    SUITE 301

    NASHVILLE, TN 372031401

    Phone: (615) 327-4304

    Fax: (615) 327-5434

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Esperion Therapeutics, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070813000276ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20200408003471ICertified Registered Nurse Anesthetist (Crna)MTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557255676View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMT
-MT
Nurse PractitionerMT
Hospitalist, Hospice/Palliative Care, Hospitalist, Internal MedicineGA
Clinical Social WorkerMT
Internal MedicineMT
-MT
Physician AssistantMT
Emergency MedicineMT
Emergency MedicineMT

Reviews

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Frequently asked questions

Can I verify MRS. IVY LEVERETT JENKINS (CRNA) with an NPI only?
You can start verification with NPI 1104043082 for MRS. IVY LEVERETT JENKINS (CRNA), then check state licensing separately.
Is MRS. IVY LEVERETT JENKINS (CRNA) listed as active for patients and plans?
The listing shows MRS. IVY LEVERETT JENKINS (CRNA) as active in the NPI system.
What is MRS. IVY LEVERETT JENKINS (CRNA)'s specialty?
The listing groups MRS. IVY LEVERETT JENKINS (CRNA) with Registered Nurse. Clinical services aligned with this taxonomy classification.
Does MRS. IVY LEVERETT JENKINS (CRNA) list a practice location?
Patients near Nashville, Tennessee may find MRS. IVY LEVERETT JENKINS (CRNA) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.