Jill Suter, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Sacramento, CA
NPI 1750779690 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1750779690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- NA95000262 (CA)
- Practice address
- 4301 X St
Sacramento, CA 95817-2214 - Phone
- (916) 734-4218
- NPI assigned
- Dec 30, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the Univ of Ca
Practice addresses (Care Compare)
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
Hospital & facility affiliations
- University of California Davis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150227000916 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9739405242 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA95000262 | CA | MD | Certified Registered Nurse Anesthetist |
| RN756693 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Regents of the Univ of Ca | Current |
Accepting new patients |
Locations
10850 White Rock Rd
Rancho Cordova, CA 95670
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
4301 X St
Sacramento, CA 95817
Phone (800) 282-3284
Interoperability endpoints
- jsuter539867@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704340451 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | RN756693 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | NA95000262 | CA | Yes |
Addresses
Primary practice location
4301 X St
Sacramento, CA 95817-2214
Mailing address
1239 Buckingham Rd
Grosse Pointe Park, MI 48230-1137
Phone (404) 291-2223
Other providers in Sacramento, CA
- Aashika Suseendran
- Angelina Sushik
- Madisen Susnara
- Sustainable Wellness Solutions
- Christin Nicole Sustar
- Christine Lynn Sutherland
- Samantha Sutherland
- Sutter Alhambra Surgery Center LP
- Sutter Bay Medical Foundation
- Sutter Counceling Center
All providers in Sacramento, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.