Individual provider Active NPI

Ashley Petrunic, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1629491949
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-090826 Issued in AL
Practice address
1802 6TH Ave S
Birmingham, AL 35233-1932
Phone
(205) 731-9050
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-090826 AL Primary

Addresses

Primary practice location

1802 6TH Ave S
Birmingham, AL 35233-1932

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9050

Other practice location 1

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 279-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140326000579 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789815242 Reassigns benefits to 2 organizations
I20241213002075 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789815242 Reassigns benefits to 1 organization
I20250826000866 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789815242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Anesthesia Associates, PCGroup PAC ID 9537153572, 51 clinicians

Practice addresses (Care Compare)

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 513-1173

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-090826ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2014 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Jul 1, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 13, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc., Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Dec 9, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 13, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

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.

Hospital & facility affiliations 3

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1629491949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331932",
            "telephone_number": "205-731-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Pine St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061109",
            "country_code": "US",
            "telephone_number": "334-279-1450",
            "fax_number": "334-395-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRUNIC",
        "first_name": "ASHLEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-090826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.