Active NPI
Jennifer Rae Ambrose, CRNA
- Certified Registered Nurse Anesthetist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101104
- Practice address
- 4100 Lake Otis Pkwy
Suite 222
Anchorage, AK 99508-5229 - Phone
- (612) 269-1918
- NPI assigned
- Jul 17, 2009
- Last updated
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 101104 | NE | Primary |
Addresses
Primary practice location
4100 Lake Otis Pkwy
Suite 222
Anchorage, AK 99508-5229
Mailing address
16015 Sunset Bend Cir
Anchorage, AK 99516-7576
Phone (612) 269-1918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3209 S 23Rd St
Suite 200
Tacoma, WA 98405-1602
Phone (253) 272-5127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101104 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Paceline Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Alaska Spine Center, LLC | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients | |
| Professional Anesthesia Services LLP | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients |
Locations
1135 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 454-4644
1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335
1135 116th Ave NE
Ste NE560
Bellevue, WA 98004
1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627
12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122
2727 Hollycroft St
Ste 380
Gig Harbor, WA 98335
Phone (253) 858-0112
5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 514-6216
1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230
3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1417273780
Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1245265826
-
dba Washington Gastroenterology Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
-
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
- NPI 1093710717
-
dba Creighton Medical Associates
- Allergy & Immunology (Internal Medicine) Physician
- Omaha, NE
- NPI 1295777225
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1497868137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1013147693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16015 SUNSET BEND CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995167576",
"telephone_number": "612-269-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY",
"address_2": "SUITE 222",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085229",
"telephone_number": "612-269-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSE",
"first_name": "JENNIFER",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
- Jennifer Amberg
- Laken Jean Amberg, LMT
- Connie Ambler, LPC
- Clifford Ambro, LMT
- Evan Michael Ambrose, PHARMD
- Linda Ambrosia, M.A, LMFT
- Amedisys Alaska, L.L.C. (Amedisys Hospice)
- Amedisys Alaska, L.L.C. (Amedisys Home Health Care)
- American Hyperbaric Centers, Inc.
- American Marine Corporation (American Hyperbaric Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.