Individual provider Active NPI

Jennifer F Jeffers, CRNA

  • Certified Registered Nurse Anesthetist
  • Kingsport, TN
National Provider Identifier
1861795288
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
15238 Issued in TN
Practice address
135 W. Ravine Road
Suite 5-B
Kingsport, TN 37660-3847
Phone
(423) 224-3460
Fax
(423) 224-3465
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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 15238 TN Primary

Addresses

Primary practice location

135 W. Ravine Road
Suite 5-B
Kingsport, TN 37660-3847

Mailing address

PO Box 1308
Kinsport, TN 37662-1308
Phone (423) 224-3460

Other names 1

  • Jennifer B Fansler Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000371 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486833084 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Advanced Anesthesia Solutions IncGroup PAC ID 7315200664, 19 clinicians

Practice addresses (Care Compare)

103 W Stone Dr
Kingsport, TN 37660-3220
Phone (423) 224-4910

240 Medical Park Blvd
Suite 2400
Bristol, TN 37620-7354
Phone (423) 639-0941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15238TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince Apr 12, 2014 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 26, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 12, 2014 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Aug 1, 2019 Accepting new patients
Advanced Anesthesia Solutions Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 24, 2025 Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Nurse Anesthetist, Certified Registered PastSince Oct 1, 2012 Accepting new patients
Meadowview ASC, LLC Past Accepting new patients

Locations

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

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

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

130 W Stone Dr
Kingsport, TN 37660

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

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

2033 Meadowview Ln
Ste 210
Kingsport, TN 37660
Phone (423) 343-7820

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

103 W Stone Dr
Kingsport, TN 37660
Phone (423) 224-4050

Dept 888618
Knoxville, TN 37995

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Organizations & group practices 7

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": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1861795288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "KINSPORT",
            "state": "TN",
            "postal_code": "376621308",
            "telephone_number": "423-224-3460",
            "fax_number": "423-224-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W. RAVINE ROAD",
            "address_2": "SUITE 5-B",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603847",
            "telephone_number": "423-224-3460",
            "fax_number": "423-224-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "15238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FANSLER",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.