Individual provider Active NPI

Jonathan Embry

  • Certified Registered Nurse Anesthetist
  • Owensboro, KY
National Provider Identifier
1306201223
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3009933 Issued in KY
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone
(270) 417-2000
NPI assigned
Dec 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 3009933 KY Primary

Addresses

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Mailing address

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-7411

Other identifiers 1

IdentifierTypeStateIssuer
3009933OtherKYADVANCED PRACTICE NURSING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160106002175 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719289818 Reassigns benefits to 6 organizations
I20180322000397 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719289818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital Corporation 84 clinicians
Anesthesia Dynamics LLC 883 clinicians

Practice addresses (Care Compare)

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-7411

217 S 3Rd St
Danville, KY 40422-1823
Phone (853) 893-1000

Hospital & facility affiliations

  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
South Central Ohio Anesthesia LLC CurrentSince Jan 30, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2024 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2024 Accepting new patients
Northstar Anesthesia of Kentucky, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 8, 2015 Accepting new patients
Ad of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 17, 2025 Accepting new patients
Apollo Medical Group LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 11, 2018 Accepting new patients
Ohio County Hospital Corporation CurrentSince Jan 1, 2022 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2018 Accepting new patients
South Central Ohio Anesthesia, LLC Past Accepting new patients

Locations

1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

425 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-3575

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

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 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": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1306201223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-298-7411",
            "fax_number": "270-298-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-18",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3009933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSING LICENSE",
            "identifier": "3009933",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.