Individual provider Active NPI

Jennifer Lynn Huelsbusch, M.D.

  • Anesthesiology Physician
  • Nashville, TN
National Provider Identifier
1508030339
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036-130557 Issued in IL
Practice address
4230 Harding Pike Ste 435
Nashville, TN 37205
Phone
(615) 385-3704
Fax
(615) 292-1321
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-130557 IL Primary

Addresses

Primary practice location

4230 Harding Pike Ste 435
Nashville, TN 37205

Mailing address

4230 Harding Pike Ste 435
Nashville, TN 37205-4900
Phone (615) 385-3704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120705000637 IL Practitioner - Anesthesiology 1759546377 Reassigns benefits to 1 organization
I20191028002405 TN Practitioner - Anesthesiology 1759546377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Anesthesia Services LLCGroup PAC ID 7315411907, 33 clinicians
Cardiovascular Anesthesiologists PCGroup PAC ID 4688571045, 142 clinicians

Practice addresses (Care Compare)

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 385-3704

Hospital & facility affiliations

  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
  • Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-130557ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Anesthesiologists PC Anesthesiology CurrentSince Sep 30, 2019 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 2, 2012 Accepting new patients

Locations

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

4230 Harding Pike
Ste 435
Nashville, TN 37205
Phone (615) 385-3704

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1508030339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 435",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054900",
            "telephone_number": "615-385-3704",
            "fax_number": "615-292-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 435",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-385-3704",
            "fax_number": "615-292-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUELSBUSCH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-130557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.