Active NPI
Jessica G Kosmowski, CRNA
- Certified Registered Nurse Anesthetist
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN170482
- Practice address
- 610 3Rd St
Suite 206
Macon, GA 31201-3294 - Phone
- (478) 464-2600
- NPI assigned
- Mar 12, 2010
- Sex
- Female
- 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 | RN170482 | GA | Primary |
Addresses
Primary practice location
610 3Rd St
Suite 206
Macon, GA 31201-3294
Mailing address
101 Princeton Dr
Macon, GA 31220-8739
Phone (478) 737-0344
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00819053 | Other | GA | RAILROAD MEDICARE |
| 580628385 | Other | GA | TRICARE |
| 466646813A | Medicaid | GA |
Other names 1
- Ms. Jessica M Gilbert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100505000019 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1254469703 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 329-0051
1659 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 329-3100
Hospital & facility affiliations
- Emory Houston Hospital Warner Robins
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Macon Gastroenterology Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Macon LLP | Past | Accepting new patients | |
| Henry Anesthesia Associates LLC | Past | Accepting new patients | |
| Midstate Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691
610 3rd St
Ste 100
Macon, GA 31201
Phone (478) 745-8205
610 3rd St
Ste 206
Macon, GA 31201
1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1922463132
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Macon, GA
- NPI 1083720478
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1447229943
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1871861823
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
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": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1578886941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PRINCETON DR",
"city": "MACON",
"state": "GA",
"postal_code": "312208739",
"telephone_number": "478-737-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 3RD ST",
"address_2": "SUITE 206",
"city": "MACON",
"state": "GA",
"postal_code": "312013294",
"telephone_number": "478-464-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSMOWSKI",
"first_name": "JESSICA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-12",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN170482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00819053",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "580628385",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466646813A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GILBERT",
"middle_name": "M",
"prefix": "MS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.