Individual provider Active NPI

Elizabeth Leblanc, CRNA

  • Certified Registered Nurse Anesthetist
  • Chevy Chase, MD
National Provider Identifier
1508863325
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AC000200 Issued in MD
Practice address
5530 Wisconsin Ave
Ste 1550
Chevy Chase, MD 20815-4404
Phone
(301) 220-1333
Fax
(301) 220-1533
NPI assigned
Jul 7, 2005
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R150538 MD
Certified Registered Nurse Anesthetist 367500000X AC000200 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave
Ste 1550
Chevy Chase, MD 20815-4404

Mailing address

9117 Jeffery Rd
Great Falls, VA 22066-4120
Phone (703) 966-5704

Other identifiers 1

IdentifierTypeStateIssuer
000822201MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000922 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284628900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7500 Greenway Ctr Dr
Suite 520
Greenbelt, MD 20770-3578
Phone (301) 220-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R150538MDMDSpecialist
AC000200MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Partners, LLC CurrentSince Jan 1, 2024 Accepting new patients
North American Partners in Anesthesia Maryland LLC PastSince Jul 10, 2022 Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
Chesapeake Pain Management, LLC Specialist Past Accepting new patients
Bella Plastic Surgery, LLC PastSince Sep 3, 2011 Accepting new patients
Chesapekae Perioperative Services L.L.C. Past Accepting new patients

Locations

2021 K St NW
Ste T120
Washington, DC 20006
Phone (202) 775-0574

Organizations & group practices 7

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1508863325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 JEFFERY RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220664120",
            "telephone_number": "703-966-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "STE 1550",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-220-1333",
            "fax_number": "301-220-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "R150538",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC000200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000822201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.