Individual provider Active NPI

Jennifer L Bourne, CRNA

  • Certified Registered Nurse Anesthetist
  • Alliance, OH
National Provider Identifier
1871829291
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.11026 Issued in OH
Practice address
200 E State St
Alliance, OH 44601-4936
Phone
(330) 596-7227
Fax
(330) 596-7214
NPI assigned
Oct 20, 2009
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 APRN.CRNA.11026 OH Primary

Addresses

Primary practice location

200 E State St
Alliance, OH 44601-4936

Mailing address

4135 Boardman Canfield Rd
Suite 101
Canfield, OH 44406-9803
Phone (330) 286-5330

Other practice location 1

250 Debartolo Pl Ste 1000
Youngstown, OH 44512-6090
Phone (330) 729-8000

Other practice location 2

7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000

Other identifiers 1

IdentifierTypeStateIssuer
3016864MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000409 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315087616 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bel-Park Anesthesia Associates, Inc.Group PAC ID 8628974904, 158 clinicians
Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians

Practice addresses (Care Compare)

200 E State St
Alliance, OH 44601-4936
Phone (330) 596-7227

4319 Executive Cir NW
Canton, OH 44718-2999
Phone (330) 526-0530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.11026OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Ohio LLC CurrentSince Dec 14, 2015 Accepting new patients
Bel-Park Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Wooster Pain and Anesthesia Center LLC CurrentSince Mar 1, 2016 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Coshocton Anesthesia Professionals LTD Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Optimum Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 27, 2023 Accepting new patients
Neurocare Sleep Center PastSince Mar 1, 2016 Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215

4319 Executive Cir NW
Canton, OH 44718
Phone (330) 526-0530

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

3373 Commerce Pkwy
Ste 3
Wooster, OH 44691
Phone (330) 284-9119

1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22081/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1871829291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069803",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014936",
            "telephone_number": "330-596-7227",
            "fax_number": "330-596-7214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Debartolo Pl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126090",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7630 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445125633",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.11026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.