Individual provider Active NPI

Kevin Charles Jessee, CRNA

  • Certified Registered Nurse Anesthetist
  • Christiansburg, VA
National Provider Identifier
1851547053
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024186898 Issued in VA
Practice address
2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone
(540) 731-2802
Fax
(540) 731-2230
NPI assigned
Aug 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 142131 TN
Certified Registered Nurse Anesthetist 367500000X 13699 TN
Certified Registered Nurse Anesthetist 367500000X 0024186898 VA Primary

Addresses

Primary practice location

2900 Lamb Cir
Christiansburg, VA 24073-6344

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081210000363 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567523418 Reassigns benefits to 6 organizations
I20230419002788 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567523418 Reassigns benefits to 2 organizations

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
Paragon Anesthesia PCGroup PAC ID 8921044744, 214 clinicians
Carilion Professional Services LLCGroup PAC ID 2163323999, 86 clinicians
Anesthesiology Associates of Radford IncGroup PAC ID 0941192272, 34 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 922-4236

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6353

2901 Lamb Cir
Christiansburg, VA 24073-6347
Phone (540) 731-1898

Hospital & facility affiliations

  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6816NCMDDentist
142131TNMDRegistered Nurse
13699TNMDPhysical Therapist
0024186898VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Aug 1, 2021 Accepting new patients
Tennessee Valley Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Carilion Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Kingsport TN Ophthalmology ASC LLC CurrentSince Jun 10, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 13, 2021 Accepting new patients
Anesthesiology Associates of Radford Inc CurrentSince May 13, 2013 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Mar 1, 2014 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 1, 2014 Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Nurse Anesthetist, Certified Registered PastSince Oct 1, 2012 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

999 Executive Park Blvd
Ste 100
Kingsport, TN 37660
Phone (423) 247-2022

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

2900 Tyler Rd
Christiansburg, VA 24073
Phone (540) 731-7311

2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114

2901 Lamb Cir
Christiansburg, VA 24073
Phone (540) 639-5888

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

Organizations & group practices 12

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 6

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1851547053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-2802",
            "fax_number": "540-731-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEE",
        "first_name": "KEVIN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "142131",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "13699",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024186898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.