Active NPI
Jason Pierce Chancey, CRNA
- Certified Registered Nurse Anesthetist
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA#052691
- Practice address
- 2080 Chambliss Ave
Suite 1
Cleveland, TN 37311 - Phone
- (423) 472-6513
- Fax
- (423) 476-2062
- NPI assigned
- Dec 30, 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 | CRNA#052691 | TN | Primary |
Addresses
Primary practice location
2080 Chambliss Ave
Suite 1
Cleveland, TN 37311
Mailing address
PO Box 3090
Cleveland, TN 37320-3090
Phone (423) 472-6513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3629846 | 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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8208 Carriage Xing
Chattanooga, TN 37421-3264
Phone (423) 667-6930
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11330 | TN | MD | General Practice Dentistry |
| CRNA#052691 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Valley Anesthesia PLLC | Current | Accepting new patients | |
| Community Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Resource Anesthesia Barrow Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiology Consultants Exchange, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
105 N Meadows Dr
Athens, TN 37303
Phone (423) 649-3300
5751 Uptain Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 855-8406
Organizations & group practices 5
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.
-
- Specialist
- Chattanooga, TN
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-
- Anesthesiology Physician
- Athens, TN
- NPI 1447202452
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1184670218
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cleveland, TN
- NPI 1033227608
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Winder, GA
- NPI 1841546892
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1528045424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3090",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373203090",
"telephone_number": "423-472-6513",
"fax_number": "423-476-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHAMBLISS AVE",
"address_2": "SUITE 1",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "37311",
"telephone_number": "423-472-6513",
"fax_number": "423-476-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANCEY",
"first_name": "JASON",
"middle_name": "PIERCE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "CRNA#052691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3629846",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
- Central Drug Co Peerless Crossing
- Central Drug LLC (Central Drug Peerless Crossing)
- John W Chambers, MD
- Champion Physical Therapy LLC Halls (CORA Physical Therapy - Cleveland)
- Anna Chancey, OTR
- Joseph Bryan Chancey, LPC
- Prashanth Chandra Sekhar, M.D.
- Eileen Alexandria Chase, M.S., ESQ.
- Mary Nethaway Chase
- Pamela Joy Chasse
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.