Individual provider Active NPI

Ann M Koss, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, TN
National Provider Identifier
1588650360
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
12142 Issued in TN
Practice address
810 W Forest Ave
Jackson, TN 38301-3942
Phone
(731) 668-1853
Fax
(731) 664-7731
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 12142 TN Primary
Certified Registered Nurse Anesthetist 367500000X APRN11034671 FL

Addresses

Primary practice location

810 W Forest Ave
Jackson, TN 38301-3942

Mailing address

810 W Forest Ave
Jackson, TN 38301-3942
Phone (731) 668-1853

Other identifiers 1

IdentifierTypeStateIssuer
3635317MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NY, VA, GA, NC, FL6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20050913001223 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779516448 Reassigns benefits to 2 organizations
I20191021002744 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779516448
I20200428000608 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779516448 Reassigns benefits to 4 organizations
I20210408000643 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779516448 Reassigns benefits to 1 organization
I20220630000251 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779516448 Reassigns benefits to 1 organization
I20240910004946 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779516448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 546-8040

9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12142TNMDOral and Maxillofacial Surgery (Dentist)
6856NCMDOccupational Therapist
APRN11034671FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia PC CurrentSince Mar 15, 2020 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2022 Accepting new patients
Anesthesiology Associates of Radford Inc CurrentSince May 28, 2025 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2016 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Jan 6, 2021 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2022 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Aug 9, 2024 Accepting new patients
Carilion Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 21, 2025 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jan 1, 2016 Accepting new patients
Winchester Anesthesiologists Inc CurrentSince Jul 24, 2023 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Mar 15, 2020 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Aug 9, 2024 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2013 Accepting new patients
Jackson Anesthesiology Group, PLLC PastSince Dec 6, 2020 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

5440 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-1000

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

2901 Lamb Cir
Christiansburg, VA 24073
Phone (540) 639-5888

2900 Lamb Cir
Ste L223
Christiansburg, VA 24073
Phone (540) 731-1898

2900 Tyler Rd
Christiansburg, VA 24073
Phone (540) 731-7311

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1588650360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013942",
            "telephone_number": "731-668-1853",
            "fax_number": "731-664-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013942",
            "telephone_number": "731-668-1853",
            "fax_number": "731-664-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSS",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "12142",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11034671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3635317",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.