Active NPI
Jessica Marie Nasrallah, CRNA
- Certified Registered Nurse Anesthetist
- Abilene, TX
National Provider Identifier
1023764362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1167876
- Practice address
- 1900 Pine St
Abilene, TX 79601-2432 - Phone
- (325) 670-2950
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1167876 | TX | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 9487716 | FL |
Addresses
Primary practice location
1900 Pine St
Abilene, TX 79601-2432
Mailing address
1145 Audace Ave Apt 105
Boynton Beach, FL 33426-3482
Phone (904) 487-0807
Other practice location 1
11300 NE 2nd Ave
Miami Shores, FL 33161-6695
Phone (305) 899-3379
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.nasrallah@mymail.barry.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, SC, NC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000
Hospital & facility affiliations
- Conway Medical Center
- Carolinas Medical Center-Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9487716 | FL | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Single Specialty | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Single Specialty | Current | Accepting new patients |
| Hendrick Anesthesia Network | Single Specialty | Current | Accepting new patients |
Locations
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
SC, Single Specialty
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
Single Specialty
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1023764362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 AUDACE AVE APT 105",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334263482",
"telephone_number": "904-487-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PINE ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012432",
"telephone_number": "325-670-2950"
}
],
"practiceLocations": [
{
"address_1": "11300 NE 2nd Ave",
"address_purpose": "LOCATION",
"city": "Miami Shores",
"state": "FL",
"postal_code": "331616695",
"country_code": "US",
"telephone_number": "305-899-3379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASRALLAH",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1167876",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "9487716",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.nasrallah@mymail.barry.edu",
"affiliation": "N",
"address_1": "11300 NE 2nd Ave",
"city": "Miami Shores",
"state": "FL",
"country_code": "US",
"postal_code": "331616695",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.