NPIMap

Individual provider Active NPI

Jenna Sullivan, CRNA

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1003223314
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101259 Issued in NE
Practice address
7500 Mercy Road
Omaha, NE 68124-2319
Phone
(402) 398-6060
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 68437 NE
Certified Registered Nurse Anesthetist 367500000X D137536 IA
Certified Registered Nurse Anesthetist 367500000X 101259 NE Primary

Addresses

Primary practice location

7500 Mercy Road
Omaha, NE 68124-2319

Mailing address

7500 Mercy Road
Omaha, NE 68124-2319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705000197 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416175401 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascend Anesthesia LLCGroup PAC ID 5294246526, 76 clinicians

Practice addresses (Care Compare)

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 923-5609

Hospital & facility affiliations

  • Arizona Spine and Joint Hospital Hospital, Mesa, AZ, CCN 030107
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D137536IAMDCertified Registered Nurse Anesthetist
101259NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hills Pain Partners LLC CurrentSince Jul 19, 2023 Accepting new patients
Pain Center of Arizona PC CurrentSince Jun 15, 2023 Accepting new patients
Alpha Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2024 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Dec Anesthesia LLC CurrentSince Sep 5, 2023 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Sonoran Endoscopy Center LLC CurrentSince Apr 6, 2024 Accepting new patients
The Pain Center of Arizona, PC CurrentSince Jun 15, 2023 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
TPC Anesthesia, LLC Past Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients
Summit Physician Group LLC Past Accepting new patients

Locations

950 N McQueen Rd
Ste 101
Chandler, AZ 85225
Phone (480) 542-7000

895 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-3737

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 478-5512

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6153

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

4727 E Union Hills Dr
Ste 300
Phoenix, AZ 85050
Phone (480) 207-3737

20333 N 19th Ave
Ste 100
Phoenix, AZ 85027

3811 E Bell Rd
Ste 100
Phoenix, AZ 85032
Phone (602) 923-5546

9250 W Thomas Rd
Ste 200
Phoenix, AZ 85037

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

3110 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 237-9312

17500 N Perimeter Dr
Ste 100
Scottsdale, AZ 85255

1976 E Baseline Rd
Ste 102
Tempe, AZ 85283
Phone (480) 755-0917

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Interoperability endpoints

  • Direct secure messaging: jennasullivan@asjh.medalliesdirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1003223314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MERCY ROAD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MERCY ROAD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-398-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JENNA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "68437",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D137536",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.