Jennifer Brown, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Loma Linda, CA
NPI 1962641019 · NPPES record last updated Feb 11, 2022
Key facts
- NPI
- 1962641019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 3746 (CA)
- Practice address
- 11234 Anderson St
Anesthesiology
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4015
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faculty Physicians and Surgeons of Llusm
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090401000299 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688731961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Loma Linda Univ Anesthesiology Medical Group Inc | Past | Accepting new patients | |
| Sweet Dreams Anesthesia Inc | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Locations
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
File 54701
Los Angeles, CA 90074
Phone (909) 651-4300
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3746 | CA | Yes |
Addresses
Primary practice location
11234 Anderson St
Anesthesiology
Loma Linda, CA 92354-2804
Mailing address
3339 Lincoln St
Riverside, CA 92503-4633
Phone (909) 224-9373
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Loma Linda, CA
- Anthony A Brown
- Charles Nicolas Brown
- Colin Brown
- Deandre W Brown
- Gerald Lee Brown
- Jeremy Brown
- Lance A Brown
- Makayla Brown
- Nikoli Brown
- Samuel Ramon Brown
All providers in Loma Linda, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2022. 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.