Individual provider Active NPI

Jarred McConnell, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1376015313
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6076 Issued in NC
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 350-8000
NPI assigned
Dec 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN150895 LA
Certified Registered Nurse Anesthetist 367500000X 6076 NC Primary

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

814 24TH St Unit 3
Denver, CO 80205-2670
Phone (808) 554-6472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO, TX, IL, NM5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190531002300 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507199874 Reassigns benefits to 1 organization
I20220628003299 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507199874 Reassigns benefits to 6 organizations
I20220728003040 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507199874 Reassigns benefits to 1 organization
I20221007002841 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507199874 Reassigns benefits to 2 organizations
I20240730003276 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507199874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

10501 Golf Course Rd NW
Lovelace Westside Hospital
Albuquerque, NM 87114-5019
Phone (505) 727-2000

117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000

4701 Montgomery Blvd NE
Lovelace Women'S Hospital
Albuquerque, NM 87109-1219
Phone (505) 727-7800

601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000

Hospital & facility affiliations

  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074
  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6076NCMDEndodontist
RN150895LAMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Anesthesia of New Mexico, LLC CurrentSince May 20, 2024 Accepting new patients
Novamed Surgery Center of Denver LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2022 Accepting new patients
American Anesthesiology of North Carolina, PLLC CurrentSince Mar 18, 2019 Accepting new patients
Arapahoe Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2022 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 14, 2023 Accepting new patients
Ias Illinois PC CurrentSince Aug 7, 2023 Accepting new patients
Novamed Surgery Center of Colorado Springs LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2022 Accepting new patients
Rocky Mountain State Anesthesia Providers CurrentSince Jun 16, 2022 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince Aug 1, 2022 Accepting new patients
Rocky Mountain State Anesthesia Providers Current Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2022 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2019 Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients

Locations

3920 N Union Blvd
Ste 240
Colorado Springs, CO 80907
Phone (719) 227-9711

4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175

3535 S Lafayette St
Ste 200
Englewood, CO 80113
Phone (303) 761-5555

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

5890 W 13th St
Greeley, CO 80634
Phone (970) 356-4567

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

1500 Concord Ter
Sunrise, FL 33323
Phone (954) 232-8058

861189 Reliable Pkwy
Chicago, IL 60686

866755 Reliable Pkwy
Chicago, IL 60686

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

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

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

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

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 3

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": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1376015313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 24TH ST UNIT 3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052670",
            "telephone_number": "808-554-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JARRED",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "LA",
            "license": "RN150895",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.