Individual provider Active NPI

Ross Palmer, RN, APN, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, TN
National Provider Identifier
1174945646
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
18247 Issued in TN
Practice address
155 Innovation Dr
Jackson, TN 38305-3019
Phone
(731) 986-7259
Fax
(731) 868-8289
NPI assigned
Jan 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 18247 TN Primary

Addresses

Primary practice location

155 Innovation Dr
Jackson, TN 38305-3019

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423002225 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082847215 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Hospital-HuntingdonGroup PAC ID 4082509757, 21 clinicians

Practice addresses (Care Compare)

631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-4481

Hospital & facility affiliations

  • Baptist Memorial Hospital - Carroll County Hospital, Huntingdon, TN, CCN 440016

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18247TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Huntingdon CurrentSince May 26, 2024 Accepting new patients
Henry County Medical Center CurrentSince Apr 1, 2019 Accepting new patients
Henry County Medical Center Current Accepting new patients
Baptist Memorial Hospital-Huntingdon Current Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Feb 1, 2014 Accepting new patients
West Tennessee Healthcare Henry County Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
West Tennessee Bone and Joint Clinic PC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Congruity Healthcare PC CurrentSince Jul 15, 2020 Accepting new patients
East Memphis Anesthesia Services PLC CurrentSince Aug 1, 2022 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2015 Accepting new patients
Medical Foundation of Central Mississippi, Inc. PastSince Jun 2, 2024 Accepting new patients
Baptist Memorial Hospital-Huntingdon Past Accepting new patients
BMC - Attala, LLC PastSince Jun 2, 2024 Accepting new patients

Locations

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

155 Innovation Dr
Jackson, TN 38305
Phone (731) 986-7259

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

24 Physicians Dr
Jackson, TN 38305
Phone (731) 661-9825

50 Capital Ave
Jackson, TN 38305
Phone (731) 661-9825

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1174945646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "877-348-1281",
            "fax_number": "901-227-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 INNOVATION DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053019",
            "telephone_number": "731-986-7259",
            "fax_number": "731-868-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ROSS",
        "credential": "RN, APN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-17",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "18247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.