Individual provider Active NPI

Jennifer W O'Brien, CRNA

  • Certified Registered Nurse Anesthetist
  • Amherst, NH
National Provider Identifier
1093075673
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
069710-23 Issued in NH
Practice address
1 Limbo LN
Amherst, NH 03031-1871
Phone
(908) 392-0381
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 069710-23 NH Primary
Certified Registered Nurse Anesthetist 367500000X RN270285 MA

Addresses

Primary practice location

1 Limbo LN
Amherst, NH 03031-1871

Mailing address

84 Foxberry Dr
New Boston, NH 03070-4315
Phone (908) 392-0381

Other names 1

  • Jennifer Kurtz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121009000821 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355590233
I20141020002236 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355590233 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia New Hampshire LLP CurrentSince Oct 20, 2020 Accepting new patients
Anesthesia Care Group PC CurrentSince Sep 15, 2014 Accepting new patients
Obrien Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2020 Accepting new patients

Locations

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

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.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1093075673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 FOXBERRY DR",
            "city": "NEW BOSTON",
            "state": "NH",
            "postal_code": "030704315",
            "telephone_number": "908-392-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LIMBO LN",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030311871",
            "telephone_number": "908-392-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JENNIFER",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "069710-23",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN270285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KURTZ",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.