Individual provider Active NPI

Jennifer F. Schopp, CRNA

  • Certified Registered Nurse Anesthetist
  • Broussard, LA
National Provider Identifier
1225234693
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
05214 Issued in LA
Practice address
108 Masterspoint Dr
Broussard, LA 70518-6168
Phone
(504) 343-7369
Fax
(866) 634-4148
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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 05214 LA Primary

Addresses

Primary practice location

108 Masterspoint Dr
Broussard, LA 70518-6168

Mailing address

108 Masterspoint Dr
Broussard, LA 70518-6168
Phone (504) 343-7369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000732 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375635634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
9.14 of 100Reported as group
Quality
16.05
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05214LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Services, LLC CurrentSince May 27, 2008 Accepting new patients
Dauterive Professionals Management Nurse Anesthetist, Certified Registered Past Accepting new patients
Our Lady of Lourdes Regional Medical Center Past Accepting new patients

Locations

149 Frontage Road a
Gray, LA 70359
Phone (985) 580-1200

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1225234693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MASTERSPOINT DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705186168",
            "telephone_number": "504-343-7369",
            "fax_number": "866-634-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MASTERSPOINT DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705186168",
            "telephone_number": "504-343-7369",
            "fax_number": "866-634-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOPP",
        "first_name": "JENNIFER",
        "middle_name": "F.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "05214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.