Individual provider Active NPI

Jane Elizabeth Nymberg, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord, NC
National Provider Identifier
1316963580
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1406 Issued in NC
Practice address
920 Church St N
Concord, NC 28025-2927
Phone
(704) 783-1689
Fax
(704) 783-2527
NPI assigned
Jul 14, 2006
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 072594 NC
Certified Registered Nurse Anesthetist 367500000X 1406 NC Primary

Addresses

Primary practice location

920 Church St N
Concord, NC 28025-2927

Mailing address

920 Church St N
Concord, NC 28025-2927
Phone (704) 783-1689

Other practice location 1

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7179

Other identifiers 2

IdentifierTypeStateIssuer
8050779MedicaidNC
NAN683MedicaidSC

Other names 1

  • Jane Seibel Nymberg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000631 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476562877 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (336) 277-8757

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072594NCMDCertified Registered Nurse Anesthetist
1406NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Park Hospital LLC CurrentSince Jan 3, 2024 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Jan 3, 2024 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Jan 3, 2024 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Nov 20, 2017 Accepting new patients
Morganton Anesthesia Partners, PLLC Current Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Jan 3, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2013 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Jan 3, 2024 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Jan 3, 2024 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
The Presbyterian Hospital CurrentSince Jan 3, 2024 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Morganton Anesthesia Partners, PLLC CurrentSince Aug 20, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jan 3, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 1, 2013 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2024 Accepting new patients
Carolinas Medical Center - University Nurse Anesthetist, Certified Registered Past Accepting new patients
Cabarrus Memorial Hospital Past Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Gateway Ambulatory Surgery Center, LLC Past Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

1025 NE Gateway Ct NE
Concord, NC 28025
Phone (704) 920-7020

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 34

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1316963580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-783-1689",
            "fax_number": "704-783-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-783-1689",
            "fax_number": "704-783-2527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Huffman Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158700",
            "country_code": "US",
            "telephone_number": "336-538-7179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYMBERG",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "072594",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "1406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050779",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN683",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "NYMBERG",
            "middle_name": "SEIBEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.