Jaime Nicole Debrabander, CRNA

Key facts

NPI

1609157809

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

L6-0A00629 (DE)

Practice address

1600 Rockland Rd
Wilmington, DE 19803-3607

Phone

(302) 651-4200

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

No

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.

• Anesthesia Services PA Anesthesiology Physician · New Castle, DE · NPI 1053366377
  Medicare reassignment Care Compare group NPD DE
• The Nemours Foundation Multi-Specialty Clinic/Center · Wilmington, DE · NPI 1366594699
  Medicare reassignment NPD DE
• University of Maryland Medical System Corporation Certified Registered Nurse Anesthetist · Baltimore, MD · NPI 1508807355
  Medicare reassignment NPD MD · NURSE ANESTHETIST, CERTIFIED REGISTERED
• The Nemours Foundation Children's Hospital · Wilmington, DE · NPI 1467505073
  NPD
• Maryland Expresscare LLC Land Ambulance · Baltimore, MD · NPI 1134835911
  NPD
• University of Maryland Medical Center, LLC General Acute Care Hospital · Baltimore, MD · NPI 1659779171
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc. General Acute Care Hospital · Wilmington, DE · NPI 1134194038
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Services PA (201 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital · Newark, DE · CCN 080001

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in DE, MD

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Miss Jaime Nicole Hurd Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2018.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1609157809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRABANDER",
        "first_name": "JAIME",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0034961",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD PTAN",
            "identifier": "P01014405",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "231965ZAD5",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "HURD",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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