NPIMap

Individual provider Active NPI

Jeanie Linda Martschink, CRNA

  • Certified Registered Nurse Anesthetist
  • Greensboro, NC
National Provider Identifier
1053404566
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
078299 Issued in NC
Practice address
3812 North Elm Street
Greensboro, NC 27455-2596
Phone
(336) 294-1833
Fax
(336) 998-2889
NPI assigned
Oct 2, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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 078299 NC Primary

Addresses

Primary practice location

3812 North Elm Street
Greensboro, NC 27455-2596

Mailing address

185 Cottonwood Lane
Summerfield, NC 27358-7915
Phone (336) 634-1905

Other identifiers 4

IdentifierTypeStateIssuer
0264UOtherNCBCBS
2519635OtherNCUNITED HEALTHCARE
16186OtherNCPARTNERS INSURANCE
8050869MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27904NCMDAmbulatory Surgical Clinic/Center
078299NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Hendersonville Anesthesia Consultants PLLC Past Accepting new patients
Beaufort County Memorial Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Salem Professional Anesthesia Services PC Nurse Anesthetist, Certified Registered PastSince May 20, 2016 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Salem Professional Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1053404566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 COTTONWOOD LANE",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273587915",
            "telephone_number": "336-634-1905",
            "fax_number": "336-998-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 NORTH ELM STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552596",
            "telephone_number": "336-294-1833",
            "fax_number": "336-998-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTSCHINK",
        "first_name": "JEANIE",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "078299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0264U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2519635",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS INSURANCE",
            "identifier": "16186",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050869",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.