Jacqueline Brown, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

035103 Issued in NC

Practice address

200 Hawthorne LN
Charlotte, NC 28204-2515

Phone

(704) 384-4239

Fax

(704) 384-5636

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.26 of 100Reported as group

Quality

84.96

Promoting interoperability

100

Improvement activities

40

Cost

72.58

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

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.

• Optimum Anesthesia

  • Anesthesiology Physician
  • Poland, OH
  • NPI 1851656854

  Nurse Anesthetist, Certified Registered, SC

  Medicare reassignment Care Compare group NPD
• Carolina Regional Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Pinehurst, NC
  • NPI 1891072609

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Perioperative Services, LLC

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1023323128

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Providence Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1396739884
  Medicare reassignment NPD
• The Presbyterian Hospital

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1487626933

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Piedmont Physician Network LLC

  • Internal Medicine Physician
  • York, SC
  • NPI 1194277186
  Medicare reassignment NPD
• York County Anesthesia Associates LLC

  • Anesthesiology Physician
  • Rock Hill, SC
  • NPI 1487974606

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Presbyterian Hospital

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1740169820
  NPD
• Gateway Ambulatory Surgery Center, LLC

  • Clinic/Center
  • Concord, NC
  • NPI 1689761546
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1598722985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601549",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601549",
            "telephone_number": "704-384-4239",
            "fax_number": "704-384-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-384-4239",
            "fax_number": "704-384-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACQUELINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "035103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050806",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN059",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Jane Brown, DDS
• Heather Lynn Brown, LCSWA
• Holli Brown, BCBA
• Isaiah Brown
• Ja'Net Iola Brown, LPC-A, LCAS-A
• Jahvonni Brown
• Jaimie Brown, LCSW
• James Edward Brown Jr., L.P.C,
• Jan Ellen Brown, IBCLC, RLC
• Janet Elaine Brown, LCAS-A

• Certified Registered Nurse Anesthetist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.