Active NPI
Jessica Marie Laslovich
- Certified Registered Nurse Anesthetist
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 281848927
- Practice address
- 200 High Park Ave
Goshen, IN 46526-4810 - Phone
- (317) 340-8384
- NPI assigned
- Mar 21, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28248221A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 281848927 | IN | Primary |
Addresses
Primary practice location
200 High Park Ave
Goshen, IN 46526-4810
Mailing address
11217 Candice Dr
Fishers, IN 46038-5555
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281848927 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Amsurg Clovis Ca Anesthesia LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| La Jolla Anesthesia Associates LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg South Bay Anesthesia LP | Current | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
501 N Medical Center Dr E
Ste 101
Clovis, CA 93611
Phone (559) 797-9290
9850 Genesee Ave
Ste 980
La Jolla, CA 92037
Phone (858) 453-7525
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
23560 Madison St
Torrance, CA 90505
Phone (310) 325-6331
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Certified Registered Nurse Anesthetist
- Clovis, CA
- NPI 1710731773
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Torrance, CA
- NPI 1811230022
-
- Certified Registered Nurse Anesthetist
- La Jolla, CA
- NPI 1649717737
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Escondido, CA
- NPI 1588151120
-
- Medical Toxicology (Emergency Medicine) Physician
- San Bernardino, CA
- NPI 1487124798
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1508515396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11217 CANDICE DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460385555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGH PARK AVE",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465264810",
"telephone_number": "317-340-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASLOVICH",
"first_name": "JESSICA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28248221A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "281848927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.