Individual provider Active NPI

Connie G Lynn, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, TN
National Provider Identifier
1366464620
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9522 Issued in TN
Practice address
17C Brentshire Square
Jackson, TN 38305-2273
Phone
(731) 664-1717
Fax
(731) 664-7114
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 050897 TX
Certified Registered Nurse Anesthetist 367500000X 79059 TN
Certified Registered Nurse Anesthetist 367500000X 9522 TN Primary

Addresses

Primary practice location

17C Brentshire Square
Jackson, TN 38305-2273

Mailing address

17C Brentshire Square
Jackson, TN 38305-2273
Phone (731) 664-1717

Other identifiers 3

IdentifierTypeStateIssuer
1507512MedicaidTN
74001009MedicaidKY
1511639MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040512000145 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406845502 Reassigns benefits to 3 organizations
I20050325000095 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406845502 Reassigns benefits to 5 organizations
I20210324000172 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406845502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Trigg County Hospital, IncGroup PAC ID 5193620805, 33 clinicians
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians
Medical Center Anesthesia, IncGroup PAC ID 2769629187, 107 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

214 Main St
Cadiz, KY 42211-9153
Phone (270) 522-0898

254 Main St
Cadiz, KY 42211-9153
Phone (270) 522-3215

320 W 18TH St
Hopkinsville, KY 42240-1965
Phone (270) 887-0100

400 E Tickle St
Dyersburg, TN 38024-3120
Phone (731) 285-2410

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

  • Trigg County Hospital Hospital, Cadiz, KY, CCN 181304
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9522TNMDClinical Social Worker
50897TXMDPharmacist
79059TNMDCertified Registered Nurse Anesthetist
050897TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Stage Two Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Trigg County Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
West Tennessee Anesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2013 Accepting new patients
Jennie Stuart Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
T J Samson Community Hospital Nurse Anesthetist, Certified Registered CurrentSince May 6, 2024 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Trigg County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Dec 1, 2024 Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Nurse Anesthetist, Certified Registered PastSince Oct 1, 2012 Accepting new patients
Dr. Dennis W. Wilson PastSince Oct 14, 2013 Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Wvuh-East Services, Inc Past Accepting new patients
Anesthesiologist Associates PA Past Accepting new patients
Murray Anesthesia Group, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ashland Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Neurosurgical Anesthesiologist,PLC Past Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

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

400 10th St E
Waconia, MN 55387

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

17 Brentshire Sq
Ste C
Jackson, TN 38305
Phone (731) 664-1717

36 Brentshire Sq
Jackson, TN 38305
Phone (501) 664-1717

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

161 Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-4198

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

310 25th Ave N
Ste 105
Nashville, TN 37203
Phone (615) 329-9023

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

1024 Kelley Dr
Paris, TN 38242
Phone (731) 642-5003

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 20

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 20

Hospital & facility affiliations 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1366464620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17C BRENTSHIRE SQUARE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052273",
            "telephone_number": "731-664-1717",
            "fax_number": "731-664-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17C BRENTSHIRE SQUARE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052273",
            "telephone_number": "731-664-1717",
            "fax_number": "731-664-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "CONNIE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "050897",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "79059",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507512",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74001009",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.