Active NPI
Jennifer Lynn Wilborn, CRNA
- Certified Registered Nurse Anesthetist
- Boaz, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-076095
- Practice address
- 2505 US Highway 431
MMCS Anesthesia
Boaz, AL 35957-5908 - Phone
- (256) 840-3512
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-076095 | AL | Primary |
Addresses
Primary practice location
2505 US Highway 431
MMCS Anesthesia
Boaz, AL 35957-5908
Mailing address
2580 Bruce Rd
Boaz, AL 35957-5063
Phone (256) 593-7614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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
Practice addresses (Care Compare)
200 Medical Ctr Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150
2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Payne Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Alabama-TCS Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Marshall Medical Center South | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| HH Health System - Marshall LLC | Current | Accepting new patients |
Locations
2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061
2505 US Highway 431
Ste 104
Boaz, AL 35957
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
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.
-
- Certified Registered Nurse Anesthetist
- Fort Payne, AL
- NPI 1669263976
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Boaz, AL
- NPI 1497269799
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1750989877
AL, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417942830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 BRUCE RD",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575063",
"telephone_number": "256-593-7614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 US HIGHWAY 431",
"address_2": "MMCS ANESTHESIA",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575908",
"telephone_number": "256-840-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBORN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-076095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.