Active NPI
Justin Paul Pearce, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1118846
- Practice address
- 100 Mallard Creek Rd
Suite 320
Louisville, KY 40207-4194 - Phone
- (502) 690-8782
- Fax
- (502) 459-0923
- NPI assigned
- May 5, 2009
- Sex
- Male
- 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 | 1118846 | KY | Primary |
Addresses
Primary practice location
100 Mallard Creek Rd
Suite 320
Louisville, KY 40207-4194
Mailing address
100 Mallard Creek Rd
Suite 320
Louisville, KY 40207-4194
Phone (502) 690-8782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100086990 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (859) 268-1030
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
3135 Middle Rd
Columbus, IN 47203-4472
Phone (812) 373-7777
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 629-2880
4004 Dupont Cir
Louisville, KY 40207-4819
Phone (502) 896-6428
Hospital & facility affiliations
- Baptist Health Louisville
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1118846 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Anesthesia Provision LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Consultants Enterprises, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Universal Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kentucky Anesthesia Partners PLLC | Current | Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| One Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Louisville Endoscopy Center, PLLC | Past | Accepting new patients | |
| Eye Surgery Center of New Albany, LLC | Past | Accepting new patients |
Locations
3423 Solutions Ctr
Chicago, IL 60677
3135 Middle Rd
Columbus, IN 47203
Phone (812) 373-7777
520 W 1st St
New Albany, IN 47150
Phone (812) 949-3442
2000 Tunnel Hill Rd
Elizabethtown, KY 42701
Phone (270) 304-2520
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850
9900 Corporate Campus Dr
Ste 3000
Louisville, KY 40223
Phone (502) 657-6013
4004 DuPont Cir
Louisville, KY 40207
Phone (502) 896-6428
1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767
1400 Poplar Level Rd
Ste 2
Louisville, KY 40217
Phone (502) 452-9567
2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488
1230 S Hurstbourne Pkwy
Ste 120
Louisville, KY 40222
Phone (502) 425-3225
11300 Maple Brook Dr
Louisville, KY 40241
Phone (502) 253-0505
100 Mallard Creek Rd
Ste 320
Saint Matthews, KY 40207
Phone (502) 690-8782
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
Organizations & group practices 8
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
- Louisville, KY
- NPI 1427246198
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1164696282
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbus, IN
- NPI 1548442650
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1750917357
-
- Ambulatory Surgical Clinic/Center
- Louisville, KY
- NPI 1003888595
-
- Ambulatory Surgical Clinic/Center
- New Albany, IN
- NPI 1053319053
-
- Anesthesiology Physician
- New Albany, IN
- NPI 1316460595
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1821222902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MALLARD CREEK RD",
"address_2": "SUITE 320",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074194",
"telephone_number": "502-690-8782",
"fax_number": "502-459-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MALLARD CREEK RD",
"address_2": "SUITE 320",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074194",
"telephone_number": "502-690-8782",
"fax_number": "502-459-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "JUSTIN",
"middle_name": "PAUL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-05",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1118846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100086990",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.