Active NPI
Jennifer L Nevala, CRNA
- Certified Registered Nurse Anesthetist
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R144190
- Practice address
- 18101 Prince Philip Dr
Olney, MD 20832-1514 - Phone
- (301) 598-5100
- NPI assigned
- Mar 21, 2007
- 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 | R144190 | MD | Primary |
Addresses
Primary practice location
18101 Prince Philip Dr
Olney, MD 20832-1514
Mailing address
PO Box 79977
Baltimore, MD 21279-0977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405293500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 570-7404
18105 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8962
3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030
Hospital & facility affiliations
- Medstar Montgomery Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Meridian Anesthesia Practice, L.L.C | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
Organizations & group practices 5
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
- Washington, DC
- NPI 1558976175
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
-
- Specialist
- Olney, MD
- NPI 1942248653
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olney, MD
- NPI 1114922341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1295850634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79977",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212790977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 PRINCE PHILIP DR",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321514",
"telephone_number": "301-598-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVALA",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R144190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405293500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.