Individual provider Active NPI

Jessica Chambers Murata, CRNA

  • Certified Registered Nurse Anesthetist
  • Falls Church, VA
National Provider Identifier
1912411612
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024175770 Issued in VA
Practice address
2503 Buckelew Dr
Falls Church, VA 22046-1910
Phone
(703) 731-7769
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 0001240624 VA
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 0024175770 VA Primary

Addresses

Primary practice location

2503 Buckelew Dr
Falls Church, VA 22046-1910

Mailing address

2503 Buckelew Dr
Falls Church, VA 22046-1910
Phone (703) 731-7769

Other names 1

  • Jessica Courtney Chambers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180212001721 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284994229 Reassigns benefits to 4 organizations
I20220224002430 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284994229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001240624VAMDCritical Care Medicine Registered Nurse
0024175770VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia PC Single Specialty CurrentSince May 1, 2021 Accepting new patients
Ambulatory Anesthesia Associates LLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
American Anesthesiology of Virginia, PC Single Specialty CurrentSince May 1, 2021 Accepting new patients
Northstar Anesthesia of Virginia, LLC Single Specialty CurrentSince Mar 4, 2022 Accepting new patients
Reston Anesthesia Associates, PC Single Specialty CurrentSince Mar 22, 2023 Accepting new patients

Locations

6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Organizations & group practices 5

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 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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1912411612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 BUCKELEW DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220461910",
            "telephone_number": "703-731-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 BUCKELEW DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220461910",
            "telephone_number": "703-731-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURATA",
        "first_name": "JESSICA",
        "middle_name": "CHAMBERS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001240624",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024175770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CHAMBERS",
            "middle_name": "COURTNEY",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.