Active NPI
Brent Edward Earwood, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN09716
- Practice address
- 17C Brentshire Square
Jackson, TN 38305-2273 - Phone
- (731) 664-1717
- Fax
- (731) 664-7114
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- 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 | APN09716 | TN | Primary |
Addresses
Primary practice location
17C Brentshire Square
Jackson, TN 38305-2273
Mailing address
17C Brentshire Square
Jackson, TN 38305-2273
Phone (731) 664-1717
Other practice location 1
5001 E Main St
Erin, TN 37061-4115
Phone (931) 289-4211
Other practice location 2
2545 N Washington Ave
Brownsville, TN 38012-1610
Phone (931) 289-4211
Other practice location 3
200 W Church St
Lexington, TN 38351-2038
Phone (731) 968-3646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3622515 | Medicaid | TN | |
| 3622511 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17 C Brentshire SQ
Jackson, TN 38305-2203
17 C Brentshire SQ
Jackson, TN 38305-2273
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 74.15
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 78.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN09716 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Anesthesia, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Shamrock Community Hospital Inc | Current | Accepting new patients | |
| Shamrock Community Hospital Inc. | Current | Accepting new patients | |
| Anesthesiology Consultants Exchange, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Dr. Dennis W. Wilson | Past | Accepting new patients |
Locations
2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777
5001 E Main St
Erin, TN 37061
Phone (336) 944-6420
36 Brentshire Sq
Jackson, TN 38305
Phone (501) 664-1717
17 Brentshire Sq
Ste C
Jackson, TN 38305
Phone (731) 664-1717
36 Brentshire Sq
Ste A1
Jackson, TN 38305
200 W Church St
Lexington, TN 38351
Phone (731) 968-1812
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Erin, TN
- NPI 1033878277
-
- Certified Registered Nurse Anesthetist
- Jackson, TN
- NPI 1427137280
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
-
- Medicare Defined Swing Bed Hospital Unit
- Erin, TN
- NPI 1952011520
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1184670218
Nurse Anesthetist, Certified Registered
-
- Clinical Psychologist
- Murfreesboro, TN
- NPI 1801832365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1487651402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17C BRENTSHIRE SQUARE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052273",
"telephone_number": "731-664-1717",
"fax_number": "731-664-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17C BRENTSHIRE SQUARE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052273",
"telephone_number": "731-664-1717",
"fax_number": "731-664-7114"
}
],
"practiceLocations": [
{
"address_1": "5001 E Main St",
"address_purpose": "LOCATION",
"city": "Erin",
"state": "TN",
"postal_code": "370614115",
"country_code": "US",
"telephone_number": "931-289-4211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2545 N Washington Ave",
"address_purpose": "LOCATION",
"city": "Brownsville",
"state": "TN",
"postal_code": "380121610",
"country_code": "US",
"telephone_number": "931-289-4211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Church St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "TN",
"postal_code": "383512038",
"country_code": "US",
"telephone_number": "731-968-3646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EARWOOD",
"first_name": "BRENT",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN09716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3622515",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3622511",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.