Active NPI
Chris Jurgensmeyer, CRNA
- Certified Registered Nurse Anesthetist
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3005108
- Practice address
- 302 W 14TH St
Jeffersonville, IN 47130-3751 - Phone
- (931) 216-6205
- Fax
- (270) 725-4569
- NPI assigned
- Jan 17, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 006495 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28214783A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 3005108 | KY | Primary |
Addresses
Primary practice location
302 W 14TH St
Jeffersonville, IN 47130-3751
Mailing address
310 Grand Oak Blvd
Shepherdsville, KY 40165-8685
Phone (931) 216-6205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.83 of 100
- Quality
- 51.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006495 | IL | MD | Certified Registered Nurse Anesthetist |
| 28214783A | IN | MD | Certified Registered Nurse Anesthetist |
| 3005108 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providian Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ema Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vision Surgical Center at Springhill PSC | Current | Accepting new patients | |
| Anesthesia Services of Middle Tennessee, PLLC | Past | Accepting new patients |
Locations
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902
302 W 14th St
Jeffersonvlle, IN 47130
Phone (502) 426-0307
302 W 14th St
Ste 100B
Jeffersonvlle, IN 47130
Phone (502) 245-0305
3605 Northgate Ct
Ste 101
New Albany, IN 47150
Phone (812) 944-4263
3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263
9202 Leesgate Rd
Louisville, KY 40222
Phone (502) 276-5554
225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398
110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360
Organizations & group practices 5
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
- Jeffersonville, IN
- NPI 1104102268
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Jeffersonville, IN
- NPI 1518922541
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, KY, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1821654666
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lebanon, TN
- NPI 1578580379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1861544173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 GRAND OAK BLVD",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401658685",
"telephone_number": "931-216-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W 14TH ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303751",
"telephone_number": "931-216-6205",
"fax_number": "270-725-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURGENSMEYER",
"first_name": "CHRIS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "006495",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28214783A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3005108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.