Active NPI
Jill E Renfro, CRNA
- Certified Registered Nurse Anesthetist
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA2675
- Practice address
- 361 Town Ctr W Ste 101
Santa Maria, CA 93458-5076 - Phone
- (805) 922-6581
- NPI assigned
- Aug 5, 2006
- Last updated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA2675 | CA | Primary |
| Registered Nurse | 163W00000X | 569240 | CA |
Addresses
Primary practice location
361 Town Ctr W Ste 101
Santa Maria, CA 93458-5076
Mailing address
PO Box 3581
Pinedale, CA 93650-3581
Phone (559) 436-0871
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051861 | Other | CA | CRNA ID |
| 569240 | Other | CA | CA RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3180 Willow LN
Suite 118
Thousand Oaks, CA 91361-4986
Phone (805) 870-9482
361 Town Ctr W
Santa Maria, CA 93458-5076
Phone (805) 922-6581
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.79 of 100
- Quality
- 74.86
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2675 | CA | MD | Cognitive & Behavioral Psychologist |
| NA2675 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hullander and Mozingo LP | Current | Accepting new patients | |
| RC Nursing Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hullander and Mozingo LP | Current | Accepting new patients | |
| Amsurg San Luis Obispo Anesthesia, LLC | Current | Accepting new patients | |
| Concierge Anesthesia | Current | Accepting new patients | |
| Coastal Pacific Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Paul T. Reznowski, P.C. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755
488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386
3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525
3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530
222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588
426 Barcellus Ave
Ste 101
Santa Maria, CA 93454
Phone (805) 925-8767
816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813
1551 Bishop St
Ste 220
Sn Luis Obisp, CA 93401
Phone (805) 541-0668
4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450
77 Casa St
Ste 106
Sn Luis Obisp, CA 93405
Phone (805) 541-1021
1320 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-0025
3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319
696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Thousand Oaks, CA
- NPI 1447726997
-
- Gastroenterology Physician
- Santa Maria, CA
- NPI 1386971687
-
- Anesthesiology Physician
- San Luis Obispo, CA
- NPI 1164749842
-
- Certified Registered Nurse Anesthetist
- Santa Maria, CA
- NPI 1659159705
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Santa Barbara, CA
- NPI 1164449880
-
dba Pacific Pain Physicians
- Interventional Pain Medicine Physician
- Bakersfield, CA
- NPI 1033606553
-
- Certified Registered Nurse Anesthetist
- Santa Maria, CA
- NPI 1063072627
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- Anesthesiology Physician
- Redding, CA
- NPI 1447420542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1427067909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3581",
"city": "PINEDALE",
"state": "CA",
"postal_code": "936503581",
"telephone_number": "559-436-0871",
"fax_number": "559-436-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 TOWN CTR W STE 101",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934585076",
"telephone_number": "805-922-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFRO",
"first_name": "JILL",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA2675",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "569240",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA ID",
"identifier": "051861",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA RN LICENSE",
"identifier": "569240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.