JCKM, LLC ABBE C FANNIN SOLE MBR – Certified Registered Nurse Anesthetist, NPI 1205277456

JCKM, LLC ABBE C FANNIN SOLE MBR is a healthcare provider. based in El paso, Texas. specializing in Certified Registered Nurse Anesthetist. The organization holds a License No. 647336 (TX). The NPI Number for JCKM, LLC ABBE C FANNIN SOLE MBR is 1205277456

Main info

Organization
Name
JCKM, LLC ABBE C FANNIN SOLE MBR
NPI
1205277456
Phone
(915) 849-5104
Address
1416 GEORGE DIETER DR
Authorized Official
ABBE C FANNIN OWNER/PROVIDER CRNA
Enumeration Date
16 July 2013
Last Update Date
26 August 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for JCKM, LLC ABBE C FANNIN SOLE MBR

  • 1416 GEORGE DIETER DR

    EL PASO, TX 799367601

    Phone: (915) 849-5104

    Type: Location

  • PO BOX 41

    MUNCIE, IN 473080041

    Phone: (765) 284-0493

    Fax: (765) 284-2434

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 79936)

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Reviews

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Frequently asked questions

What number should I use to identify JCKM, LLC ABBE C FANNIN SOLE MBR for billing?
Administrative and clinical systems typically use NPI 1205277456 for JCKM, LLC ABBE C FANNIN SOLE MBR.
Should I treat JCKM, LLC ABBE C FANNIN SOLE MBR as an active provider?
Patients and plans typically see JCKM, LLC ABBE C FANNIN SOLE MBR as active in the national extract.
What does the directory say JCKM, LLC ABBE C FANNIN SOLE MBR does?
Insurance directories may phrase it differently, but here JCKM, LLC ABBE C FANNIN SOLE MBR maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JCKM, LLC ABBE C FANNIN SOLE MBR tied to El Paso, Texas?
If you are local to El Paso, Texas, JCKM, LLC ABBE C FANNIN SOLE MBR may be relevant to your search.
Can I export JCKM, LLC ABBE C FANNIN SOLE MBR's record?
You can download the official NPPES record; we summarize key fields for readability.

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