Individual provider Active NPI

Jessica Sewell, CRNA

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
National Provider Identifier
1396126843
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-117861 Issued in AL
Practice address
2655 Northwinds Pkwy
Alpharetta, GA 30009-2280
Phone
(770) 643-5619
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 1-117861 AL Primary

Addresses

Primary practice location

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280

Mailing address

2105 E South Blvd
Montgomery, AL 36116-2409
Phone (770) 643-5619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820010943 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426363342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.94 of 100Reported as group
Quality
56.16
Promoting interoperability
86
Improvement activities
40
Cost
78.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC CurrentSince Nov 30, 2015 Accepting new patients
Birmingham Gastroenterology Associates PC CurrentSince Nov 15, 2017 Accepting new patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2015 Accepting new patients
Birmingham Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2017 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 30, 2015 Accepting new patients

Locations

2010 Brookwood Medical Ctr Dr
#G100
Birmingham, AL 35209

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1 Independence Plz
Homewood, AL 35209
Phone (205) 255-3828

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1396126843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162409",
            "telephone_number": "770-643-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "770-643-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "JESSICA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-117861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

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