Active NPI
Brenda G. Hensley, CRNA
- Certified Registered Nurse Anesthetist
- South Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 047230
- Practice address
- 4605 Maccorkle Ave SW
South Charleston, WV 25309-1311 - Phone
- (304) 766-3600
- NPI assigned
- Jul 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 047230 | WV | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 05000 | OH |
Addresses
Primary practice location
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Mailing address
331 Laidley St
Suite 606
Charleston, WV 25301-1619
Phone (304) 344-0096
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001720710 | Other | WV | WV BLUE CROSS PROVIDER # |
| 550696369 | Other | WV | WV WORKERS PROVIDER # |
| 0069102000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05000 | OH | MD | Certified Registered Nurse Anesthetist |
| 047230 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Under Anesthesia | Current | Accepting new patients | |
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Center for Pain Relief, Inc. | Past | Accepting new patients | |
| Mid-Atlantic Anesthesia Consultants, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Professional Anesthesia Service,Inc. | Past | Accepting new patients |
Locations
106 Ellett Rd
Chapin, SC 29036
Phone (803) 941-8096
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Anesthesiology Physician
- Sumter, SC
- NPI 1194018242
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1699845164
-
- Interventional Pain Medicine Physician
- Charleston, WV
- NPI 1831116375
-
- Anesthesiology Physician
- Hurricane, WV
- NPI 1144248907
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1720035827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1588688071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 LAIDLEY ST",
"address_2": "SUITE 606",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011619",
"telephone_number": "304-344-0096",
"fax_number": "304-342-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091311",
"telephone_number": "304-766-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEY",
"first_name": "BRENDA",
"middle_name": "G.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "047230",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "05000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BLUE CROSS PROVIDER #",
"identifier": "001720710",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WORKERS PROVIDER #",
"identifier": "550696369",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0069102000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.