Individual provider Active NPI

Jovanna L Eisenbarth, CRNA

  • Certified Registered Nurse Anesthetist
  • Plymouth, NH
National Provider Identifier
1891711214
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
085763-23 Issued in NH
Practice address
16 Hospital Rd
Plymouth, NH 03264-1126
Phone
(207) 747-9650
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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 085763-23 NH Primary

Addresses

Primary practice location

16 Hospital Rd
Plymouth, NH 03264-1126

Mailing address

108 Ledgeside LN
Plymouth, NH 03264-3440
Phone (207) 747-9650

Other identifiers 2

IdentifierTypeStateIssuer
207292803MedicaidTX
207292804OtherTXCSHCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH, VT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190708001308 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325041155 Reassigns benefits to 1 organization
I20210819001209 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325041155 Reassigns benefits to 5 organizations
I20221122000258 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325041155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag Anesthesia PLLC 165 clinicians

Practice addresses (Care Compare)

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

Hospital & facility affiliations

  • Speare Memorial Hospital Hospital, Plymouth, NH, CCN 301311
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085763-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jun 10, 2020 Accepting new patients
Collaborative Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Anesthesia Associates of New England PC CurrentSince Mar 20, 2023 Accepting new patients
Littleton Hospital Association CurrentSince May 1, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Jun 10, 2020 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince May 1, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Littleton Hospital Association CurrentSince May 1, 2024 Accepting new patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 18, 2024 Accepting new patients

Locations

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

400 10th St E
Waconia, MN 55387

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

580 Court St
Keene, NH 03431
Phone (603) 354-5454

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1891711214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LEDGESIDE LN",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643440",
            "telephone_number": "207-747-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641126",
            "telephone_number": "207-747-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBARTH",
        "first_name": "JOVANNA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "085763-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207292803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "207292804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.