Individual provider Active NPI

Susan Shawn Jones, CRNA

  • Certified Registered Nurse Anesthetist
  • Winchester, VA
National Provider Identifier
1316263288
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024168733 Issued in VA
Practice address
878 Fox Drive
Winchester, VA 22603
Phone
(540) 662-8336
Fax
(540) 662-8593
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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 0024168733 VA Primary

Addresses

Primary practice location

878 Fox Drive
Winchester, VA 22603

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other practice location 1

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8000

Other practice location 2

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

Other names 1

  • Susan Shawn Small Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sjones124419@soc.inova.org
Direct Messaging Address sjones124419@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100623000643 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082745831 Reassigns benefits to 2 organizations
I20231014000619 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082745831 Reassigns benefits to 1 organization
I20231102001755 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082745831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Assoc of Maryland 15 clinicians

Practice addresses (Care Compare)

101 Milford St
Salisbury, MD 21804-6952
Phone (410) 749-9290

804 Snow Hill Rd
Salisbury, MD 21804-1938
Phone (800) 394-4445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168733VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Dec 1, 2018 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Anesthesiologists Inc CurrentSince Apr 26, 2010 Accepting new patients
Winchester Medical Center Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients

Locations

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

878 Fox Dr
Winchester, VA 22603
Phone (540) 546-2624

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: sjones124419@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1316263288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-5100",
            "fax_number": "540-662-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 FOX DRIVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22603",
            "telephone_number": "540-662-8336",
            "fax_number": "540-662-8593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "22601",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Botanical Blvd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "22603",
            "country_code": "US",
            "telephone_number": "540-536-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SUSAN",
        "middle_name": "SHAWN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjones124419@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjones124419@soc.inova.org",
            "affiliation": "N",
            "address_1": "174 Botanical Blvd",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SMALL",
            "middle_name": "SHAWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.