Jennifer Rae Ambrose, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Anchorage, AK
NPI 1013147693 · NPPES record last updated Jul 16, 2013
Key facts
- NPI
- 1013147693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 101104 (NE)
- Practice address
- 4100 Lake Otis Pkwy
Suite 222
Anchorage, AK 99508-5229 - Phone
- (612) 269-1918
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington Gastroenterology PLLC
Practice addresses (Care Compare)
3209 S 23Rd St
Suite 200
Tacoma, WA 98405-1602
Phone (253) 272-5127
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231207003818 | WA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2365597770 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Current |
Accepting new patients | |
| Washington Gastroenterology PLLC | Current |
Accepting new patients | |
| Paceline Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Washington Gastroenterology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alaska Spine Center, LLC | Past | Accepting new patients | |
| Professional Anesthesia Services LLP | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients |
Locations
1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335
1135 116th Ave NE
Ste NE560
Bellevue, WA 98004
1135 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 454-4644
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) 268-0720
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 305
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 203
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 101104 | NE | Yes |
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
Other providers in Anchorage, AK
- Jennifer Amberg
- Laken Jean Amberg
- Connie Ambler
- Clifford Ambro
- Evan Michael Ambrose
- Linda Ambrosia
- Amedisys Alaska, L.L.C.
- Amedisys Alaska, L.L.C.
- American Hyperbaric Centers, Inc.
- American Marine Corporation
All providers in Anchorage, AK · Certified Registered Nurse Anesthetist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.