Individual provider Active NPI

Jennifer Rose Humphreys, CRNA

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
National Provider Identifier
1942556014
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1266 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-9252
Fax
(336) 716-0567
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Physicians and Associates PA 101 clinicians
Piedmont Sedation Associates, LLC 19 clinicians
Wake Forest University Health Sciences 2,633 clinicians

Practice addresses (Care Compare)

1002 N Church St
Suite 201
Greensboro, NC 27401-1448
Phone (336) 378-0713

445 Pineview Dr
Suite 240
Kernersville, NC 27284-3818
Phone (336) 914-5114

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, CO3 enrollments

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20121120000000 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587815667 Reassigns benefits to 8 organizations
I20140930000574 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587815667 Reassigns benefits to 3 organizations
I20231019000187 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587815667 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.0999260-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Oct 18, 2023 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Triad Sedation Associates, LLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince Dec 1, 2023 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2025 Accepting new patients
Trident Anesthesia Group, LLC Anesthesiology CurrentSince Feb 13, 2023 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Sep 1, 2013 Accepting new patients
Coastal Anesthesia Associates, LLC Anesthesiology CurrentSince Feb 13, 2023 Accepting new patients
Salem Professional Anesthesia Services PC Anesthesiology CurrentSince Oct 8, 2012 Accepting new patients
North Denver Anesthesia Associates, LLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Boulder Valley Gastroenterology Inc. Current Accepting new patients
Piedmont Sedation Associates, LLC Anesthesiology CurrentSince Sep 22, 2025 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Aug 15, 2013 Accepting new patients
Arapahoe Gastroenterology Anesthesia Associates LLC Anesthesiology CurrentSince Oct 2, 2023 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince Dec 1, 2023 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Apr 28, 2025 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Apr 28, 2025 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Salem Professional Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 33)

1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714

4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664

13952 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 271-1112

7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

382 S Arthur Ave
Louisville, CO 80027

382 S Arthur Ave
Unit 100
Louisville, CO 80027

112 Kinderton Blvd
#100
Advance, NC 27006
Phone (336) 765-0155

128 Peachtree Ln
Ste B
Advance, NC 27006
Phone (336) 998-3396

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

1002 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 378-0713

3812 N Elm St
Greensboro, NC 27455
Phone (336) 294-1833

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

3735 Admiral Dr
Ste 111
High Point, NC 27265
Phone (336) 821-4180

280 Broad St
Ste F
Kernersville, NC 27284
Phone (336) 765-6312

445 Pineview Dr
Ste 240
Kernersville, NC 27284
Phone (336) 448-2427

434 Kirby Rd
King, NC 27021

137 Mount Calvary Rd
#A
Thomasville, NC 27360

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

1901 S Hawthorne Rd
Ste 308
Winston Salem, NC 27103
Phone (336) 448-2427

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN.0999260-CRNA CO
Certified Registered Nurse Anesthetist 367500000X 1266 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255

Other practice location 1

1000 W South Boulder Rd Ste 200
Lafayette, CO 80026-2088
Phone (303) 604-5000

Other practice location 2

1000 W South Boulder Rd Ste 200
Lafayette, CO 80026-2088
Phone (303) 604-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2025.

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1942556014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-9252",
            "fax_number": "336-716-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W South Boulder Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262088",
            "country_code": "US",
            "telephone_number": "303-604-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W South Boulder Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262088",
            "country_code": "US",
            "telephone_number": "303-604-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0999260-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.