Active NPI
Jennifer Manter Lancaster, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 80491
- Practice address
- 10628 Park Rd
Charlotte, NC 28210-8407 - Phone
- (704) 667-1000
- Fax
- (704) 667-0409
- NPI assigned
- Jul 5, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 80491 | NC | Primary |
| Registered Nurse | 163W00000X | RN-254444 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | NA07357 | OH |
Addresses
Primary practice location
10628 Park Rd
Charlotte, NC 28210-8407
Mailing address
197 Trixie LN
Grottoes, VA 24441-4900
Phone (980) 322-7409
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1023 | Medicaid | SC | |
| 8052735 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Alexander Bell Dr
Suite 515
Reston, VA 20191-5473
Phone (703) 891-2760
2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (434) 654-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-254444 | OH | MD | Registered Nurse |
| 80491 | NC | MD | Certified Registered Nurse Anesthetist |
| NA07357 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMG Anesthesia Specialists LLC | Current | Accepting new patients | |
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Deperro Plastic Surgery, LLC | Past | Accepting new patients | |
| Doctors Anesthesia Services of Columbus Inc | Past | Accepting new patients | |
| Midwest Physician Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256
2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636
2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
Organizations & group practices 7
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
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
NC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1194488791
-
- Plastic Surgery Physician
- Columbus, OH
- NPI 1134573496
-
- Anesthesiology Physician
- New Albany, OH
- NPI 1275577157
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1598703951
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1801893839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 TRIXIE LN",
"city": "GROTTOES",
"state": "VA",
"postal_code": "244414900",
"telephone_number": "980-322-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108407",
"telephone_number": "704-667-1000",
"fax_number": "704-667-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "JENNIFER",
"middle_name": "MANTER",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "80491",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN-254444",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "NA07357",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1023",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052735",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.