Active NPI
Jessica S Collins, CRNA
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2001027050
- Practice address
- 12634 Olive Blvd
Saint Louis, MO 63141-6337 - Phone
- (314) 996-8378
- Fax
- (314) 996-8910
- NPI assigned
- May 23, 2007
- 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 | 2001027050 | MO | Primary |
Addresses
Primary practice location
12634 Olive Blvd
Saint Louis, MO 63141-6337
Mailing address
660 S Euclid Ave
C B 8054
Saint Louis, MO 63110-1010
Phone (314) 996-8378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112438613 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Cherry St
Mercy Hospital Lincoln Anesthesiolo
Troy, MO 63379-1513
Phone (636) 528-3329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001027050 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Metro-West Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Key Anesthesia Partners | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Specialists in Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SW Anesthesia LLC | Current | Accepting new patients | |
| Physicians' Ambulatory Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northwest Anesthesia LTD | Past | Accepting new patients |
Locations
17300 North Outer 40 Rd
Chesterfield, MO 63005
Phone (636) 536-5158
17300 North Outer 40 Rd
Ste 100
Chesterfield, MO 63005
Phone (314) 865-7992
2511 N Westwood Blvd
Ste B
Poplar Bluff, MO 63901
6150 Oakland Ave
Saint Louis, MO 63139
Phone (314) 768-3000
3933 S Broadway
Saint Louis, MO 63118
Phone (314) 865-3333
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
16 Chamber Dr
Washington, MO 63090
Phone (636) 239-9122
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- St Louis, MO
- NPI 1689619280
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1306319769
-
- Certified Registered Nurse Anesthetist
- Chesterfield, MO
- NPI 1467073742
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bridgeton, MO
- NPI 1114917374
-
- Anesthesiology Physician
- Bridgeton, MO
- NPI 1942596002
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1124238613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "C B 8054",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-996-8378",
"fax_number": "314-996-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12634 OLIVE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416337",
"telephone_number": "314-996-8378",
"fax_number": "314-996-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JESSICA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2001027050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112438613",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.