NPIMap

Individual provider Active NPI

Jennifer Mitchell Patton, CRNA

  • Certified Registered Nurse Anesthetist
  • Spartanburg, SC
National Provider Identifier
1730120353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN617 Issued in SC
Practice address
100 E Wood St
Suite 100
Spartanburg, SC 29303-3004
Phone
(864) 583-1222
Fax
(864) 582-5154
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 APN617 SC Primary

Addresses

Primary practice location

100 E Wood St
Suite 100
Spartanburg, SC 29303-3004

Mailing address

596 Edgewater Rd
Woodruff, SC 29388-7818
Phone (864) 876-5456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001055 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406836444 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Anesthesia AssociatesGroup PAC ID 3274446422, 111 clinicians
Gastroenterology Associates, PAGroup PAC ID 1951215433, 57 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 255-1000

125 Halton Rd
Suite 200
Greenville, SC 29607-3507
Phone (864) 232-7338

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
617SCMDProfessional Counselor
APN617SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Anesthesiology, Inc CurrentSince May 31, 2022 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Gastroenterology Associates, PA CurrentSince Mar 30, 2023 Accepting new patients
St. Francis Hospital, Inc. CurrentSince Sep 9, 2022 Accepting new patients
Spartanburg Medical Center Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2016 Accepting new patients
St Francis Hospital Inc CurrentSince Sep 9, 2022 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Gastroenterology Associates, PA CurrentSince Mar 30, 2023 Accepting new patients
Spartanburg Medical Center CurrentSince Dec 20, 2016 Accepting new patients
Palmetto Anesthesia Associates CurrentSince Apr 1, 2024 Accepting new patients
Spartanburg Hospital for Restorative Care Past Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered PastSince Sep 24, 2011 Accepting new patients
Spartanburg Surgery Center, LLC Past Accepting new patients

Locations

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

125 Halton Rd
Ste 200
Greenville, SC 29607

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

5 Stevens St
Ste 200
Greenville, SC 29605
Phone (864) 250-6484

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

389 Serpentine Dr
Spartanburg, SC 29303
Phone (864) 560-3263

100 E Wood St
Ste 100
Spartanburg, SC 29303
Phone (864) 573-6500

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730120353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 EDGEWATER RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293887818",
            "telephone_number": "864-876-5456",
            "fax_number": "864-876-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E WOOD ST",
            "address_2": "SUITE 100",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033004",
            "telephone_number": "864-583-1222",
            "fax_number": "864-582-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "JENNIFER",
        "middle_name": "MITCHELL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.