Individual provider Active NPI

Jerry Lynn Earnest, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Payne, AL
National Provider Identifier
1891710331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-039806 Issued in AL
Practice address
200 Medical Center Drive
Fort Payne, AL 35967
Phone
(256) 845-3150
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1-039806 AL Primary

Addresses

Primary practice location

200 Medical Center Drive
Fort Payne, AL 35967

Mailing address

PO Box 680045
Fort Payne, AL 35968-1601
Phone (256) 635-0991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CO, NE, NM4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041101000557 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931161007 Reassigns benefits to 5 organizations
I20231106003103 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931161007 Reassigns benefits to 1 organization
I20240313003393 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931161007 Reassigns benefits to 3 organizations
I20240507003084 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931161007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Highlands Anesthesia ServicesGroup PAC ID 3678941424, 12 clinicians
Northstar Anesthesia of Nebraska LLCGroup PAC ID 2264857135, 21 clinicians
North Platte Surgery Center Anesthesia LLCGroup PAC ID 6709969751, 20 clinicians

Practice addresses (Care Compare)

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

4021 Ave B
Scottsbluff, NE 69361-4602
Phone (214) 687-0001

621 W Francis St
North Platte, NE 69101-0608
Phone (308) 534-8800

Hospital & facility affiliations

  • Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Mar 31, 2024 Accepting new patients
Faith Regional Physician Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Oct 16, 2023 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Apr 15, 2024 Accepting new patients
North Platte Surgery Center LLC Current Accepting new patients
North Platte Surgery Center Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Mar 31, 2024 Accepting new patients
Highlands Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2022 Accepting new patients
Hospitalist Medicine Physicians of Alabama-TCS Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2023 Accepting new patients
Epix Anesthesia of Alabama LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2018 Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients
Anesthesia Management Group of North Alabama,LLC Past Accepting new patients
Dekalb Anesthesia Associates, LLC Past Accepting new patients
Community Hospital of Andalusia LLC Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

Organizations & group practices 17

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.

View all 17

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891710331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680045",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359681601",
            "telephone_number": "256-635-0991",
            "fax_number": "256-635-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DRIVE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-845-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "JERRY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-039806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.