Individual provider Active NPI

Mary Jane Jones, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1952490450
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
12658 Issued in TN
Practice address
1068 Cresthaven Rd
Suite 150
Memphis, TN 38119-0800
Phone
(901) 682-6828
Fax
(901) 682-9316
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 901869 MS
Certified Registered Nurse Anesthetist 367500000X 12658 TN Primary

Addresses

Primary practice location

1068 Cresthaven Rd
Suite 150
Memphis, TN 38119-0800

Mailing address

PO Box 171181
Suite 905 B
Memphis, TN 38187-1181
Phone (901) 682-2872

Other identifiers 3

IdentifierTypeStateIssuer
3600018MedicaidTN
4155048OtherTNBLUE CROSS
3624005MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070710000515 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840390696 Reassigns benefits to 2 organizations
I20240616000034 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840390696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology of Tennessee PCGroup PAC ID 9931001922, 296 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
American Anesthesiology of Mississippi LLC CurrentSince Dec 1, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Gastroenterology Center of the Midsouth PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 9, 2020 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
East Memphis Anesthesia Services, PLLC Past Accepting new patients

Locations

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

7900 Airways Blvd
Ste 101
Southaven, MS 38671
Phone (662) 349-6950

589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565

Gastro Onegovt Arhcl
New York, NY 10087

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

2100 Exeter Rd
Ste 101
Germantown, TN 38138
Phone (901) 405-8200

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

Organizations & group practices 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1952490450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171181",
            "address_2": "SUITE 905 B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381871181",
            "telephone_number": "901-682-2872",
            "fax_number": "901-682-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD",
            "address_2": "SUITE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190800",
            "telephone_number": "901-682-6828",
            "fax_number": "901-682-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901869",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "12658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600018",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4155048",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3624005",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.