Active NPI
Jerry Lynn Earnest, CRNA
- Certified Registered Nurse Anesthetist
- Fort Payne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-039806
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 ServicesNorthstar Anesthesia of Nebraska LLCNorth Platte Surgery Center Anesthesia LLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| North Platte Surgery Center LLC | Current | Accepting new patients | |
| North Platte Surgery Center Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Otero County Hospital Association | Current | Accepting new patients | |
| Highlands Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Alabama-TCS Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Epix Anesthesia of Alabama LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Scottsboro, AL
- NPI 1255050753
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Platte, NE
- NPI 1780869222
NE, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1629427059
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1750989877
AL, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
CO
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- North Platte, NE
- NPI 1154316339
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.