Individual provider Active NPI

Holly Ann Escude, CRNA

  • Certified Registered Nurse Anesthetist
  • Flowood, MS
National Provider Identifier
1366468191
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R867106 Issued in MS
Practice address
2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303
Phone
(601) 933-9521
Fax
(601) 933-9525
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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 R867106 MS Primary

Addresses

Primary practice location

2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303

Mailing address

2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303
Phone (601) 933-9521

Other identifiers 1

IdentifierTypeStateIssuer
07921883MedicaidMS

Other names 1

  • Mrs. Holly Ann Foster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NY, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040614001083 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496739906 Reassigns benefits to 1 organization
I20201120002467 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496739906 Reassigns benefits to 1 organization
I20220401000698 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496739906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 882-1411

Hospital & facility affiliations

  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R867106MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2003 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 27, 2020 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Dec 24, 2021 Accepting new patients
Professional Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

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

2550 Flowood Dr
Ste 400
Flowood, MS 39232
Phone (601) 933-9521

996 Top St
Flowood, MS 39232
Phone (601) 936-2526

1915 Dunbarton Dr
Jackson, MS 39216
Phone (601) 982-3338

1659 Lelia Dr
Jackson, MS 39216
Phone (601) 910-3004

501 Marshall St
Ste 604
Jackson, MS 39202
Phone (601) 982-7606

760 Lakeland Dr
Jackson, MS 39216
Phone (601) 362-8700

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

971 Lakeland Dr
Ste 200
Jackson, MS 39216

1026 N Flowood Dr
Jackson, MS 39232
Phone (601) 932-1000

1421 N State St
Ste 101
Jackson, MS 39202
Phone (601) 353-8000

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

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

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

Organizations & group practices 4

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.

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": "1424390400000",
    "number": "1366468191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR",
            "address_2": "SUITE 400",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329303",
            "telephone_number": "601-933-9521",
            "fax_number": "601-933-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR",
            "address_2": "SUITE 400",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329303",
            "telephone_number": "601-933-9521",
            "fax_number": "601-933-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUDE",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R867106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07921883",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "FOSTER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.