Individual provider Active NPI

Jessica Rose Angerdina

  • Certified Registered Nurse Anesthetist
  • New Orleans, LA
National Provider Identifier
1740836360
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
123420 Issued in LA
Practice address
2000 Canal St
New Orleans, LA 70112
Phone
(504) 702-2000
NPI assigned
Aug 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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 123420 LA Primary

Addresses

Primary practice location

2000 Canal St
New Orleans, LA 70112

Mailing address

78 Lisa Ave
Kenner, LA 70065-3318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024002140 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971835927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

Practice addresses (Care Compare)

602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone (985) 493-4750

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as group
Quality
88.07
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123420LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation CurrentSince Jan 1, 2022 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
University Medical Center Management Corporation CurrentSince Aug 5, 2019 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Mar 7, 2025 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Mar 7, 2025 Accepting new patients
University Medical Center Management Corporation CurrentSince Aug 5, 2019 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Oct 1, 2021 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Jan 1, 2022 Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

2000 Canal St
Ste 2B
New Orleans, LA 70112

478 S Johnson St
New Orleans, LA 70112
Phone (504) 412-1366

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Organizations & group practices 9

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 1

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": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1740836360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 LISA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-702-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGERDINA",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "123420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.