Individual provider Active NPI

Jennifer E Dehaven, CRNA

  • Certified Registered Nurse Anesthetist
  • Salem, VA
National Provider Identifier
1336487115
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024170649 Issued in VA
Practice address
1900 Electric Rd
Salem, VA 24153-7474
Phone
(540) 776-4100
NPI assigned
Jan 29, 2013
Last updated
Mar 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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 0024170649 VA Primary
Registered Nurse 163W00000X 0001218765 VA

Addresses

Primary practice location

1900 Electric Rd
Salem, VA 24153-7474

Mailing address

PO Box 13888
Roanoke, VA 24038-3888

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130426000650 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517103104 Reassigns benefits to 5 organizations
I20250913000355 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517103104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesia PCGroup PAC ID 7416851597, 70 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 772-3400

Merit-based Incentive Payment System (MIPS)

Final score
73.38 of 100Reported as group
Quality
77.5
Improvement activities
20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001218765VAMDRegistered Nurse
0024170649VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center Anesthesia Providers PC Nurse Anesthetist, Certified Registered CurrentSince Apr 2, 2024 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Jun 30, 2025 Accepting new patients
Valley Anesthesia PC CurrentSince Apr 15, 2013 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2024 Accepting new patients
California Anesthesia Network Nursing Services, PC CurrentSince Jul 1, 2018 Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

3735 Admiral Dr
Ste 111
High Point, NC 27265
Phone (336) 821-4180

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

110 Akers Farm Rd
Christiansburg, VA 24073
Phone (540) 382-9405

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

1040 Main St
Danville, VA 24541
Phone (434) 792-1433

1835 Graves Mill Rd
#1
Forest, VA 24551
Phone (336) 420-7472

2010 Bremo Rd
Ste 132
Richmond, VA 23226
Phone (804) 285-0680

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

525 Amherst St
Winchester, VA 22601
Phone (336) 420-7472

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1336487115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13888",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240383888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537474",
            "telephone_number": "540-776-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024170649",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001218765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.