Active NPI
Jennifer M. Kinser, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0111926
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-8983
- Fax
- (704) 355-8994
- NPI assigned
- Jun 16, 2006
- Last updated
- May 19, 2010
- 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 | 0111926 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
PO Box 32861
Anesthesia SVCS - 5TH Floor Surgery Tower
Charlotte, NC 28232-2861
Phone (704) 355-8983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052220 | Medicaid | NC | |
| NAN697 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4400 Golf Acres Dr
Suite a
Charlotte, NC 28208-5906
557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661
9412 Rosalyn Glen Rd
Cornelius, NC 28031-5748
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0111926 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iredell Memorial Hospital Incorporated | Current | Accepting new patients | |
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network, LLC | Current | Accepting new patients | |
| Iredell Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Imh Prof Infect Disease | Past | Accepting new patients | |
| Imh Professional Path | Past | Accepting new patients | |
| Imh Professional ER | Past | Accepting new patients | |
| Iredell Memorial Hospital Incorporated | Past | Accepting new patients | |
| Iredell Mem Hospital Cap Program | Past | Accepting new patients | |
| Iredell Memorial Hospital SNF Icf | Past | Accepting new patients | |
| Iredell Memorial Hospital Incorporated | Past | Accepting new patients | |
| Carolinas Rehabilitation | Past | Accepting new patients | |
| Carolinas Rehabilitation | Past | Accepting new patients | |
| Iredell Memorial Hosp SNF Icf | Past | Accepting new patients |
Locations
653 Bluefield Rd
Ste D
Mooresville, NC 28117
Phone (704) 360-6470
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1faf3cea-e504-4363-85be-017534ea9e27/
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IMH Professional CRNA
- General Acute Care Hospital
- Statesville, NC
- NPI 1548230204
-
- General Practice Physician
- Statesville, NC
- NPI 1811381593
-
dba Iredell Davis Behavioral Health Hospital
- Psychiatric Hospital
- Statesville, NC
- NPI 1417783705
-
dba Iredell Ear, Nose and Throat
- Otolaryngology Physician
- Statesville, NC
- NPI 1447063920
-
dba Iredell Surgery at Mooresville ASC
- Ambulatory Surgical Clinic/Center
- Mooresville, NC
- NPI 1518549393
-
- Rehabilitation Hospital
- Charlotte, NC
- NPI 1790727550
-
- Group Psychotherapy Psychologist
- Charlotte, NC
- NPI 1821112665
-
- Specialist
- Statesville, NC
- NPI 1043248610
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1134109556
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1083684518
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1376688283
-
- Skilled Nursing Facility
- Statesville, NC
- NPI 1821284761
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1235173444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32861",
"address_2": "ANESTHESIA SVCS - 5TH FLOOR SURGERY TOWER",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322861",
"telephone_number": "704-355-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-8983",
"fax_number": "704-355-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSER",
"first_name": "JENNIFER",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "0111926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052220",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN697",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.