Individual provider Active NPI

Jessie L. Orban, CRNA

  • Certified Registered Nurse Anesthetist
  • Great Falls, VA
National Provider Identifier
1023307303
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024179296 Issued in VA
Practice address
934 Harriman St
Great Falls, VA 22066-2500
Phone
(610) 972-9859
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024179296 VA Primary

Addresses

Primary practice location

934 Harriman St
Great Falls, VA 22066-2500

Mailing address

934 Harriman St
Great Falls, VA 22066-2500
Phone (610) 972-9859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130305000590 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769653963 Reassigns benefits to 2 organizations
I20130419000166 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769653963 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambulatory Anesthesia Services IncGroup PAC ID 3274516042, 18 clinicians

Practice addresses (Care Compare)

10730 Main St
Fairfax, VA 22030-3704
Phone (703) 691-0670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024179296VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Services Inc CurrentSince Mar 1, 2018 Accepting new patients
Outpatient Anesthesia Services of Reston, LTD CurrentSince Oct 15, 2021 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960

10730 Main St
Fairfax, VA 22030
Phone (703) 491-9500

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

10449 White Granite Dr
Unit 129
Oakton, VA 22124

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1023307303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 HARRIMAN ST",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662500",
            "telephone_number": "610-972-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 HARRIMAN ST",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662500",
            "telephone_number": "610-972-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORBAN",
        "first_name": "JESSIE",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024179296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.