Individual provider Active NPI

Jessica Llanos, CRNA

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1154732956
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9415835 Issued in FL
Practice address
900 NW 17TH St
Miami, FL 33136-1119
Phone
(305) 326-6490
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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 RN269247 MA
Certified Registered Nurse Anesthetist 367500000X ARNP9415835 FL Primary

Addresses

Primary practice location

900 NW 17TH St
Miami, FL 33136-1119

Mailing address

28166 Islet TRL
Bonita Springs, FL 34135-8507
Phone (617) 834-2332

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141006000037 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507086089 Reassigns benefits to 2 organizations
I20181206002455 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507086089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Massachusetts LLCGroup PAC ID 8820350713, 37 clinicians
Lowell Anesthesiology Service IncGroup PAC ID 3072556141, 98 clinicians

Practice addresses (Care Compare)

300 C Faunce Corner Rd
Dartmouth, MA 02747-1257
Phone (508) 679-3131

33 Bartlett St
Suite 203
Lowell, MA 01852-1317
Phone (978) 689-4601

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9415835FLMDCertified Registered Nurse Anesthetist
RN269247MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Apr 23, 2024 Accepting new patients
Anesthesia Care Group PC CurrentSince Dec 1, 2018 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2021 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP CurrentSince Dec 1, 2018 Accepting new patients

Locations

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

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

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

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

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

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1154732956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28166 ISLET TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358507",
            "telephone_number": "617-834-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361119",
            "telephone_number": "305-326-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANOS",
        "first_name": "JESSICA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN269247",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9415835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.

Verify at the official NPI Registry.