Active NPI
Jenna Renee Bowersox, CRNA
- Certified Registered Nurse Anesthetist
- Williamsport, PA
National Provider Identifier
1194577528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN706565
- Practice address
- 700 High St
Williamsport, PA 17701-3100 - Phone
- (570) 321-1279
- NPI assigned
- Apr 1, 2024
- Last updated
- Jun 15, 2026
- 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 | RN706565 | PA | Primary |
Addresses
Primary practice location
700 High St
Williamsport, PA 17701-3100
Mailing address
265 Rohrsburg Rd
Orangeville, PA 17859-9107
Phone (570) 428-5157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260626001992 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325511728 |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1201 Grampian Blvd
Williamsport, PA 17701-1900
32 -36 Central Ave
Wellsboro, PA 16901-1899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN706565 | PA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1194577528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 ROHRSBURG RD",
"city": "ORANGEVILLE",
"state": "PA",
"postal_code": "178599107",
"telephone_number": "570-428-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HIGH ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013100",
"telephone_number": "570-321-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERSOX",
"first_name": "JENNA",
"middle_name": "RENEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN706565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.