Individual provider Active NPI

Jane B Parker, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1134227481
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28083465 Issued in IN
Practice address
9002 N Meridian St
Indianapolis, IN 46260-5381
Phone
(574) 268-9640
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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 28083465 IN Primary

Addresses

Primary practice location

9002 N Meridian St
Indianapolis, IN 46260-5381

Mailing address

6 Hawthorne CT
Batesville, IN 47006-9215
Phone (812) 933-0116

Other identifiers 1

IdentifierTypeStateIssuer
200495950MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000750 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204897838 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28083465INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 17, 2004 Accepting new patients
I Care Center LLC CurrentSince Jan 5, 2021 Accepting new patients
I Care Center Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 4, 2024 Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

9002 N Meridian St
Ste Ll
Indianapolis, IN 46260
Phone (317) 848-1763

9002 N Meridian St
Ste L22
Indianapolis, IN 46260
Phone (317) 848-1763

9002 N Meridian St
Lowr
Indianapolis, IN 46260
Phone (317) 848-1763

9002 N Meridian St
Indianapolis, IN 46260
Phone (317) 844-5530

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1134227481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HAWTHORNE CT",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470069215",
            "telephone_number": "812-933-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605381",
            "telephone_number": "574-268-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JANE",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28083465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200495950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.