Individual provider Active NPI

Jessica Kubisch, CRNA

  • Certified Registered Nurse Anesthetist
  • Washington, DC
National Provider Identifier
1255755138
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1022965 Issued in DC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 444-2000
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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 1022965 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

4911 31St St S
Arlington, VA 22206-1655
Phone (989) 708-0353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170503001620 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779715271 Reassigns benefits to 6 organizations
I20201211002646 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779715271
I20240822000298 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779715271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

701 S Health Pkwy
Three Rivers Health Hospital
Three Rivers, MI 49093-8352
Phone (269) 278-1145

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022965DCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Jul 4, 2022 Accepting new patients
Community Health Center of Branch County CurrentSince Apr 4, 2025 Accepting new patients
Lower Umpqua Hospital District CurrentSince Apr 18, 2023 Accepting new patients
Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 9, 2021 Accepting new patients
Harney District Hospital CurrentSince Mar 17, 2023 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Jul 4, 2022 Accepting new patients
Lower Umpqua Hospital District CurrentSince Nov 6, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Apr 1, 2023 Accepting new patients
Harney District Hospital CurrentSince Mar 17, 2023 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County CurrentSince Apr 4, 2025 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince May 31, 2024 Accepting new patients
Harney District Hospital Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Cep America - Anesthesia PC CurrentSince Apr 1, 2023 Accepting new patients
Lower Umpqua Hospital District CurrentSince Apr 18, 2023 Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Dept LA 25339
Pasadena, CA 91185

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

1007 Harlow Rd
Ste 110
Springfield, OR 97477
Phone (541) 726-8882

Interoperability endpoints

  • Direct secure messaging: jkubisch373611@direct.llu.edu

Organizations & group practices 19

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 19

Hospital & facility affiliations 3

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1255755138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 31ST ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061655",
            "telephone_number": "989-708-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISCH",
        "first_name": "JESSICA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "1022965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.