Jessica Cochran, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ronceverte, WV
NPI 1912934688 · NPPES record last updated Mar 18, 2013
Key facts
- NPI
- 1912934688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 59214 (WV)
- Practice address
- 202 Maplewood Ave
Ronceverte, WV 24970-1334 - Phone
- (304) 647-6549
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Camc Greenbrier Valley Medical Center Inc
Medstream Anesthesia PLLC
Safe and Sound Anesthesia Services LLC
Practice addresses (Care Compare)
1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411
1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100
600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200
84 Brookshire LN
Beckley, WV 25801-6765
Phone (304) 255-2724
Hospital & facility affiliations
- Camc Greenbrier Valley Medical Center, Inc
- Raleigh General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060307000009 | WV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4486660057 | Reassigns benefits to 4 organizations |
| I20230328000397 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4486660057 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe & Sound Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Camc Greenbrier Valley Medical Center, Inc. | Current |
Accepting new patients | |
| Camc Greenbrier Valley Medical Center Inc | Current |
Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Atomic Anesthesia PLLC | Current |
Accepting new patients | |
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Greenbrier VMC LLC | Past | Accepting new patients | |
| BJSM Med Inc | Past | Accepting new patients | |
| Camc Greenbrier Valley Medical Center Inc | Past | Accepting new patients | |
| Greenbrier Valley Emergency Physicians LLC | Past | Accepting new patients | |
| Sheridan Healthcare of West Virginia Inc | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Kelly Medical Services Corporation LLC | Past | Accepting new patients | |
| Greenbrier VMC LLC | Past | Accepting new patients |
Locations
949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
84 Brookshire Ln
Beckley, WV 25801
Phone (304) 255-2341
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762
430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678
1521 Maplewood Ave
Ronceverte, WV 24970
1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870
40823 Midland Trl E
Wht Sphr Spgs, WV 24986
Phone (304) 536-4870
Interoperability endpoints
- https://api.platform.athenahealth.com/27854/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 59214 | WV | Yes |
Addresses
Primary practice location
202 Maplewood Ave
Ronceverte, WV 24970-1334
Mailing address
202 Maplewood Ave
Ronceverte, WV 24970-1334
Phone (304) 647-6549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810005380 | Medicaid | WV |
Other providers in Ronceverte, WV
- Charleston Area Medical Center, Inc.
- Jo Ann Chestnut
- Christopher J Rodebaugh, DDS Inc
- Ralph A Church
- Heather Marie Clawges
- Jeffrey Coleman
- Misty Rose Comer
- Amanda Cornwell
- Lee Ann Cox
- Jessica Lee Crane
All providers in Ronceverte, WV · Certified Registered Nurse Anesthetist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.