Active NPI
Jason M Larsen, CRNA, DNP
- Certified Registered Nurse Anesthetist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4018931
- Practice address
- 800 Rose St
Lexington, KY 40536-8237 - Phone
- (859) 323-5956
- Fax
- (859) 323-1080
- NPI assigned
- Dec 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN19921 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 4018931 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-8237
Mailing address
1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Phone (423) 283-0776
Other practice location 1
1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Phone (423) 283-0776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q016239 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC, SC, KY
Enrollment records 4
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)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28448 | SC | MD | Internal Medicine Physician |
| 4018931 | KY | MD | Certified Registered Nurse Anesthetist |
| APN19921 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Paragon Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Singing River Health System | Past | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
Organizations & group practices 8
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
- Kingsport, TN
- NPI 1538174974
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1922439264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 NOVUS DR STE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048237",
"telephone_number": "423-283-0776",
"fax_number": "423-283-0549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405368237",
"telephone_number": "859-323-5956",
"fax_number": "859-323-1080"
}
],
"practiceLocations": [
{
"address_1": "1009 Novus Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376048237",
"country_code": "US",
"telephone_number": "423-283-0776",
"fax_number": "423-283-0549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSEN",
"first_name": "JASON",
"middle_name": "M",
"credential": "CRNA, DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-12",
"last_updated": "2024-07-09",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN19921",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4018931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q016239",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.