Active NPI
Jessica Rose Angerdina
- Certified Registered Nurse Anesthetist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 123420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corporation
Practice addresses (Care Compare)
602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone (985) 493-4750
Hospital & facility affiliations
- Thibodaux Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 123420 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| Childrens Hospital Anesthesia Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Current | 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.
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
LA
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
LA
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
LA
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
LA
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
- Physical Medicine & Rehabilitation Physician
- Thibodaux, LA
- NPI 1518631639
-
- Clinical Cardiac Electrophysiology Physician
- Thibodaux, LA
- NPI 1770435851
-
- Psychiatric Hospital Unit
- New Orleans, LA
- NPI 1144261728
-
- Diagnostic Radiology Physician
- Thibodaux, LA
- NPI 1467427336
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
Hospital
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.