Individual provider Active NPI

Chris Jurgensmeyer, CRNA

  • Certified Registered Nurse Anesthetist
  • Jeffersonville, IN
National Provider Identifier
1861544173
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3005108 Issued in KY
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

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070911000379 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698868321 Reassigns benefits to 2 organizations
I20140804001915 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698868321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.83 of 100Reported as individual
Quality
51.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006495ILMDCertified Registered Nurse Anesthetist
28214783AINMDCertified Registered Nurse Anesthetist
3005108KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Providian Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2021 Accepting new patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Sep 17, 2014 Accepting new patients
Vision Surgical Center at Springhill PSC CurrentSince Nov 1, 2014 Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC PastSince Sep 1, 2005 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.

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.

Verify at the official NPI Registry.