Individual provider Active NPI

Jason Shane Litchfield, CERTIFIED REGISTERED

  • Certified Registered Nurse Anesthetist
  • Bethesda, MD
National Provider Identifier
1790843019
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024168065 Issued in VA
Practice address
8901 Wisconsin Blvd
Bethesda, MD 20889-0001
Phone
(757) 953-3227
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0001182005 VA
Certified Registered Nurse Anesthetist 367500000X 0024168065 VA Primary

Addresses

Primary practice location

8901 Wisconsin Blvd
Bethesda, MD 20889-0001

Mailing address

8901 Wisconsin Blvd
Bethesda, MD 20889-0001
Phone (301) 295-4455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117001899 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911062468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMR Anesthesia PLLCGroup PAC ID 1052657319, 16 clinicians

Practice addresses (Care Compare)

5102 N Davis Hwy
Pensacola, FL 32503-2030
Phone (850) 484-4080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4363CAMDOccupational Therapist
0001182005VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
BMR Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
MD Cyrus Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

180 E Redstone Ave
Crestview, FL 32539

182 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 266-7500

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191

1600 Jenks Ave
Ste 1
Panama City, FL 32405
Phone (855) 524-7246

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

1502 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 437-3777

511 Hewitt St
Pensacola, FL 32503
Phone (850) 912-6505

4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

1549 Airport Blvd
Ste 420
Pensacola, FL 32504
Phone (850) 484-8800

1502 Creighton Rd
Ste C
Pensacola, FL 32504
Phone (850) 437-3777

400 10th St E
Waconia, MN 55387

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1790843019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "757-953-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITCHFIELD",
        "first_name": "JASON",
        "middle_name": "SHANE",
        "credential": "CERTIFIED REGISTERED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0001182005",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.