Individual provider Active NPI

Jason Andrew Thompson, CRNA

  • Certified Registered Nurse Anesthetist
  • Charleston, WV
National Provider Identifier
1770108862
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
86211 Issued in WV
Practice address
501 Morris St
Charleston, WV 25301-1326
Phone
(304) 388-5432
NPI assigned
Jun 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 110955 WV
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X APRN.CRNA.0020098 OH
Certified Registered Nurse Anesthetist 367500000X 86211 WV Primary

Addresses

Primary practice location

501 Morris St
Charleston, WV 25301-1326

Mailing address

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 1

2131 E State St
Athens, OH 45701-2138
Phone (740) 589-3100

Other practice location 2

1220 Lee St E
Charleston, WV 25301-1863
Phone (304) 388-1800

Other practice location 3

3200 MacCorkle Ave SE
Charleston, WV 25304-1297
Phone (304) 388-5432

Other practice location 4

800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.thompson.1@17389.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200708002098 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163845272 Reassigns benefits to 1 organization
I20230616000731 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163845272 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Anesthesia PSCGroup PAC ID 3072828193, 18 clinicians
River Cities Anesthesia PLLCGroup PAC ID 6002707015, 60 clinicians

Practice addresses (Care Compare)

2520 Valley Dr
Point Pleasant, WV 25550-2031
Phone (304) 675-4340

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 736-6126

Hospital & facility affiliations

  • Rivers Health Hospital, Point Pleasant, WV, CCN 510012
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.0020098OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. Multi-Specialty CurrentSince May 29, 2023 Accepting new patients
River Cities Anesthesia PLLC Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Riverside Anesthesia, PSC Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Charleston Area Medical Center Inc Multi-Specialty CurrentSince May 29, 2023 Accepting new patients
Oasis Anesthesia LLC Multi-Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

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

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

400 10th St E
Waconia, MN 55387

5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222

2335 Chesterfield Ave
Ste 400
Charleston, WV 25304
Phone (304) 417-1255

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

Interoperability endpoints

  • Direct secure messaging: jason.thompson.1@17389.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1770108862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MORRIS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326",
            "telephone_number": "304-388-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MORRIS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326",
            "telephone_number": "304-388-5432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 E State St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012138",
            "country_code": "US",
            "telephone_number": "740-589-3100",
            "fax_number": "740-589-3123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Lee St E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011863",
            "country_code": "US",
            "telephone_number": "304-388-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041297",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253023351",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "110955",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0020098",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "86211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.thompson.1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2131 E State St",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457012138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.