Individual provider Active NPI

Jennifer L Levasseur, CRNA

  • Certified Registered Nurse Anesthetist
  • Dover, NH
National Provider Identifier
1841278264
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0363472311 Issued in NH
Practice address
789 Central Avenue
Wentworth Douglas Hospital
Dover, NH 03820
Phone
(603) 742-5252
Fax
(603) 749-2453
NPI assigned
Jan 5, 2006
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 0363472311 NH Primary

Addresses

Primary practice location

789 Central Avenue
Wentworth Douglas Hospital
Dover, NH 03820

Mailing address

3998 Fair Rigde Dr
Suite 300
Fairfax, VA 22033-2921
Phone (703) 295-9360

Other identifiers 2

IdentifierTypeStateIssuer
30343888MedicaidNH
3081812MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000891 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729017835 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Anesthesia Associates PAGroup PAC ID 6002855327, 40 clinicians
Stratham Anesthesia Associates PLLCGroup PAC ID 7416007950, 26 clinicians

Practice addresses (Care Compare)

11 Whitehall Rd
Rochester, NH 03867-3226
Phone (603) 332-5211

4 W Rd
Suite B1
Stratham, NH 03885-2612
Phone (603) 772-2076

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0363472311NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Apollo Medical Group of Portsmouth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP CurrentSince Jan 29, 2016 Accepting new patients
Stratham Anesthesia Associates PLLC CurrentSince Apr 26, 2024 Accepting new patients
Portsmouth Anesthesia Associates PA CurrentSince Jun 28, 2023 Accepting new patients
Apollo Medical Group of Wentworth PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

291 Shattuck Way
Portsmouth, NH 03801
Phone (561) 330-3381

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

6 Works Way
Somersworth, NH 03878
Phone (603) 285-9273

4 West Rd
Ste B1
Stratham, NH 03885
Phone (603) 772-2076

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1841278264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIGDE DR",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVENUE",
            "address_2": "WENTWORTH DOUGLAS HOSPITAL",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-5252",
            "fax_number": "603-749-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVASSEUR",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "0363472311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30343888",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081812",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.