Individual provider Active NPI

Jason Pierce Chancey, CRNA

  • Certified Registered Nurse Anesthetist
  • Cleveland, TN
National Provider Identifier
1528045424
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA#052691 Issued in TN
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

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3629846MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000288 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749194322 Reassigns benefits to 2 organizations

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
Crna Associates, P.C.Group PAC ID 8820980212, 16 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
11330TNMDGeneral Practice Dentistry
CRNA#052691TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley Anesthesia PLLC CurrentSince Jun 1, 2005 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.

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

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.

Verify at the official NPI Registry.