Individual provider Active NPI

Jill E Renfro, CRNA

  • Certified Registered Nurse Anesthetist
  • Santa Maria, CA
National Provider Identifier
1427067909
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA2675 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051861OtherCACRNA ID
569240OtherCACA RN LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000381 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810969797 Reassigns benefits to 5 organizations
Practice locations: Arroyo Grande, CA; Templeton, CA

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
Concierge AnesthesiaGroup PAC ID 7012320500, 18 clinicians
Santa Maria Gastroenterology Medical Group Inc.Group PAC ID 6709070964, 23 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
2675CAMDCognitive & Behavioral Psychologist
NA2675CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hullander and Mozingo LP CurrentSince May 1, 2006 Accepting new patients
RC Nursing Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 18, 2023 Accepting new patients
Hullander and Mozingo LP CurrentSince May 1, 2006 Accepting new patients
Amsurg San Luis Obispo Anesthesia, LLC CurrentSince Jan 3, 2011 Accepting new patients
Concierge Anesthesia CurrentSince Oct 5, 2025 Accepting new patients
Coastal Pacific Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Paul T. Reznowski, P.C. Past Accepting new patients
Dignity Health PastSince Nov 20, 2022 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.

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.

Verify at the official NPI Registry.