Individual provider Active NPI

Jenna Plaisance Marciante, CRNA

  • Certified Registered Nurse Anesthetist
  • Gulfport, MS
National Provider Identifier
1972936219
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R886907 Issued in MS
Practice address
15200 Community Rd
Gulfport, MS 39503
Phone
(228) 575-7000
NPI assigned
Aug 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 AP07610 LA
Certified Registered Nurse Anesthetist 367500000X R886907 MS Primary

Addresses

Primary practice location

15200 Community Rd
Gulfport, MS 39503

Mailing address

215 E Second St Unit 27
Pass Christian, MS 39571-4476
Phone (228) 304-1112

Other identifiers 2

IdentifierTypeStateIssuer
04105062MedicaidMS
2353659MedicaidLA

Other names 1

  • Jenna Marie Plaisance Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140404001741 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395977391 Reassigns benefits to 3 organizations
I20180817001653 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395977391 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River GulfportGroup PAC ID 5294154829, 75 clinicians
Northlake Anesthesiologists, a Professional CorporationGroup PAC ID 3072597681, 19 clinicians

Practice addresses (Care Compare)

15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7000

1700 Lindberg Dr
Slidell, LA 70458-8062
Phone (985) 641-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R886907MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC CurrentSince Aug 5, 2018 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 9, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2014 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Aug 5, 2018 Accepting new patients
Singing River Gulfport CurrentSince Jan 1, 2023 Accepting new patients
Northlake Anesthesiologists, a Professional Corporation CurrentSince Jul 16, 2018 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 12, 2014 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2014 Accepting new patients
Singing River Gulfport CurrentSince Jan 1, 2023 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 12, 2014 Accepting new patients

Locations

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1700 Lindberg Dr
Slidell, LA 70458
Phone (800) 598-7291

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

1926 23rd Ave
Meridian, MS 39301
Phone (601) 485-1131

3882 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6290

Organizations & group practices 12

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": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1972936219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E SECOND ST UNIT 27",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714476",
            "telephone_number": "228-304-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-575-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIANTE",
        "first_name": "JENNA",
        "middle_name": "PLAISANCE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP07610",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R886907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04105062",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353659",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "PLAISANCE",
            "middle_name": "MARIE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.