Active NPI
Jenna Petrera, CRNA
- Certified Registered Nurse Anesthetist
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 604836
- Practice address
- 100 Woods Rd
Valhalla, NY 10595-1530 - Phone
- (914) 557-1850
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 604836 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 604836 | NY | Primary |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
11781 Lee Jackson Memoiral Highway
Suite 550
Fairfax, VA 22033-3309
Phone (703) 295-9360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 490-7000
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 604836 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Hudson Health Anesthesia PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia (Virginia), LLC | Past | Accepting new patients |
Locations
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
6 Front St
Newburgh, NY 12550
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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
- Cortlandt Manor, NY
- NPI 1619633898
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1912389362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMOIRAL HIGHWAY",
"address_2": "SUITE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-557-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRERA",
"first_name": "JENNA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "604836",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "604836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.