Individual provider Active NPI

Justin Paul Pearce, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1821222902
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1118846 Issued in KY
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

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100086990MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090619000200 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951452671 Reassigns benefits to 5 organizations
I20150720003193 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951452671 Reassigns benefits to 1 organization

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
Anesthesiology Consultants Enterprises PLLCGroup PAC ID 9830268671, 124 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Universal Anesthesia Services LLCGroup PAC ID 9830268341, 58 clinicians
Louisville Anesthesia Provision LLCGroup PAC ID 2567533839, 23 clinicians

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 Hospital, Louisville, KY, CCN 180130
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1118846KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Anesthesia Provision LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2014 Accepting new patients
Anesthesiology Consultants Enterprises, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2024 Accepting new patients
Universal Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2023 Accepting new patients
Kentucky Anesthesia Partners PLLC CurrentSince Nov 19, 2022 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2021 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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

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.

Verify at the official NPI Registry.