Active NPI
Jessica Kubisch, CRNA
- Certified Registered Nurse Anesthetist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1022965
- 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
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 | 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, MI
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1022965 | DC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Hospital District | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Springfield Or Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Harney District Hospital | Current | Accepting new patients | |
| Regio T Penna MD, PC | Current | Accepting new patients | |
| Bay Area Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Harney District Hospital | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current | 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
- 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.
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
MI, Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Roseburg, OR
- NPI 1235842196
-
- Critical Access Hospital
- Burns, OR
- NPI 1285742338
-
- Critical Access Hospital
- Reedsport, OR
- NPI 1003874819
-
- Certified Registered Nurse Anesthetist
- Springfield, OR
- NPI 1487158390
Nurse Anesthetist, Certified Registered
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Hematology & Oncology Physician
- Coldwater, MI
- NPI 1215964192
-
- Internal Medicine Physician
- Coldwater, MI
- NPI 1306873286
-
- Pediatric Adolescent Medicine Physician
- Coldwater, MI
- NPI 1619304458
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
- Critical Access Hospital
- Reedsport, OR
- NPI 1003874819
-
- General Acute Care Hospital
- Three Rivers, MI
- NPI 1568739423
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.