Individual provider Active NPI

Jennifer Jamison

  • Certified Registered Nurse Anesthetist
  • Earlysville, VA
National Provider Identifier
1306119896
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024169861 Issued in VA
Practice address
330 Rays Ford Cir
Earlysville, VA 22936-9779
Phone
(434) 249-7966
NPI assigned
Feb 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 0024169861 VA Primary

Addresses

Primary practice location

330 Rays Ford Cir
Earlysville, VA 22936-9779

Mailing address

330 Rays Ford Cir
Earlysville, VA 22936-9779
Phone (434) 249-7966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120330000391 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204096100 Reassigns benefits to 6 organizations
I20240424000170 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204096100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Virginia Commonwealth University, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-0000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rector and Visitors of the University of Virginia Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2012 Accepting new patients
Hypnos Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Jan 25, 2022 Accepting new patients
Rector & Visitors of the University of Virginia CurrentSince Feb 18, 2012 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Sep 20, 2022 Accepting new patients
Rector & Visitors of the University of Virginia Current Accepting new patients
Old Dominion Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 23, 2022 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jan 25, 2022 Accepting new patients
Charlottesville Gastroenterology Associates PC CurrentSince Jan 1, 2022 Accepting new patients
Gastroenterology Associates of Northern Virginia, LLC Past Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

400 10th St E
Waconia, MN 55387

1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750

3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393

4100 Olympia Cir
Ste 201
Charlottesville, VA 22911
Phone (434) 220-6620

2955 Ivy Rd
Ste 201
Charlottesvle, VA 22903
Phone (434) 243-4520

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1139 E High St
Ste 203
Charlottesvle, VA 22902
Phone (434) 817-8484

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484

2050 Abbey Rd
Ste D
Charlottesvle, VA 22911
Phone (434) 218-5090

1139 E High St
Charlottesvle, VA 22902
Phone (434) 817-8484

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1306119896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RAYS FORD CIR",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229369779",
            "telephone_number": "434-249-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RAYS FORD CIR",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229369779",
            "telephone_number": "434-249-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024169861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Earlysville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.