Jennifer L. Longo, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Nashville, TN
NPI 1104889146 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1104889146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 22973 (TN)
- Practice address
- 110 29TH Ave N Ste 202
Nashville, TN 37203 - Phone
- (615) 327-4304
- Fax
- (615) 327-7940
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Medical Group, P.C.
Ddec Anesthesia, LLC
Sunrise Anesthesia LLC
Practice addresses (Care Compare)
110 29TH N Ave
Suite 202
Nashville, TN 37203-1448
Phone (615) 327-4304
222 22ND Ave N
Suite 300
Nashville, TN 37203-0802
Phone (615) 340-4629
330 Wallace Rd
Suite 103
Nashville, TN 37211-4981
Phone (888) 851-4642
Hospital & facility affiliations
- Ascension Saint Thomas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.57 of 100
- Quality
- 59.49
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212003730 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4385661818 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110003 | MO | MD | Audiologist |
| 22973 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Ddec Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Medical Group, PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Digestive Disease Endoscopy Center Inc. | Past |
Accepting new patients | |
| Mid-Missouri Anesthesia Consultants PC | Past |
Accepting new patients | |
| Forest Park Anesthesia, Inc | Past | Accepting new patients |
Locations
330 Wallace Rd
Ste 103
Nashville, TN 37211
Phone (615) 832-5530
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
222 22nd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 340-4629
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 110003 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 22973 | TN | Yes |
Addresses
Primary practice location
110 29TH Ave N Ste 202
Nashville, TN 37203
Mailing address
110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Phone (615) 327-4304
Other practice location 1
525 Couch Ave
Kirkwood, MO 63122-5536
Phone (573) 636-3483
Other providers in Nashville, TN
- Colleen Longino
- Jennifer Longmire
- Reid Allan Longmuir
- Susannah Quisling Longmuir
- Aimee Lyn Longo
- Julianna Longo
- Michael Longo
- Longs Park Emergency Physicians PLLC
- Omali Longwell
- Hannah Lonsdale
All providers in Nashville, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.