Active NPI
Thressa Pemberton, CRNA
- Certified Registered Nurse Anesthetist
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 103937
- Practice address
- 1340 Hal Greer Blvd
Huntington, WV 25701-3800 - Phone
- (304) 526-2000
- NPI assigned
- Apr 4, 2019
- 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 | 103937 | WV | Primary |
Addresses
Primary practice location
1340 Hal Greer Blvd
Huntington, WV 25701-3800
Mailing address
141 Township Road 1234
Proctorville, OH 45669-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000
2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 736-6126
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
Hospital & facility affiliations
- King'S Daughters' Medical Center
- Thomas Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- Quality
- 60.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103937 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of West Virginia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| River Cities Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| THS Physician Partners Inc | Current | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
L3539
Columbus, OH 43260
Phone (304) 414-4800
5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222
2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Organizations & group practices 6
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
- Huntington, WV
- NPI 1699845164
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
-
- Anesthesiology Physician
- Irving, TX
- NPI 1821448150
Nurse Anesthetist, Certified Registered, WV
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Anesthesiology Physician
- Ashland, KY
- NPI 1801144852
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1083176424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 TOWNSHIP ROAD 1234",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456698686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013800",
"telephone_number": "304-526-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBERTON",
"first_name": "THRESSA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "103937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.