Individual provider Active NPI

Karen W Nelms, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, MS
National Provider Identifier
1326070541
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
901498 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-1000
Fax
(601) 815-0434
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 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 901498 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

504 Clinton Center Drive
Cbo- Suite 4300
Clinton, MS 39056-5610
Phone (601) 496-9524

Other identifiers 5

IdentifierTypeStateIssuer
511-12357OtherALBC BS OF AL
051551366MedicaidAL
05231510MedicaidMS
124769MedicaidAL
430068753OtherALMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080916000381 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739256892 Reassigns benefits to 2 organizations
I20180625002952 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739256892 Reassigns benefits to 5 organizations
I20221223001068 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739256892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perioperative Services of Mississippi, LLCGroup PAC ID 8921365255, 98 clinicians
Physicians Anesthesia Group, P.a.Group PAC ID 6103806864, 54 clinicians

Practice addresses (Care Compare)

1225 N State St
Ms Baptist Medical Center
Jackson, MS 39202-2064
Phone (601) 317-2802

350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (604) 317-2802

971 Lakeland Dr
Jackson, MS 39216-4643
Phone (601) 200-2000

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Current Accepting new patients
University of Alabama at Birmingham CurrentSince Feb 9, 2016 Accepting new patients
Musc Community Physicians CurrentSince Nov 10, 2022 Accepting new patients
McComb Anesthesia Associates, LLP Nurse Anesthetist, Certified Registered CurrentSince May 1, 2018 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Northport - Crna Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2011 Accepting new patients
Musc Community Physicians CurrentSince Nov 10, 2022 Accepting new patients
Perioperative Services of Mississippi, LLC CurrentSince Sep 20, 2019 Accepting new patients
Physicians Anesthesia Group, P.a. CurrentSince Aug 1, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 6, 2021 Accepting new patients
Vision Correction Center, LLC Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 6, 2021 Accepting new patients
University of Alabama at Birmingham Nurse Anesthetist, Certified Registered CurrentSince Feb 9, 2016 Accepting new patients
Anesthesia Services of Birmingham, P.C. Past Accepting new patients

Locations

619 19th St S
Rm JT845
Birmingham, AL 35249
Phone (205) 934-7072

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

1406 McFarland Blvd N
Ste 2B
Tuscaloosa, AL 35406
Phone (205) 248-0095

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

971 Lakeland Dr
Jackson, MS 39216
Phone (601) 939-5922

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

Interoperability endpoints

  • Direct secure messaging: knelms164543@ummc.direct-ci.com

Organizations & group practices 15

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 15

Hospital & facility affiliations 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1326070541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CLINTON CENTER DRIVE",
            "address_2": "CBO- SUITE 4300",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565610",
            "telephone_number": "601-496-9524",
            "fax_number": "601-815-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1000",
            "fax_number": "601-815-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS",
        "first_name": "KAREN",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "511-12357",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551366",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05231510",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124769",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "430068753",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.