Individual provider Active NPI

Jenny Goldberg, CRNA

  • Certified Registered Nurse Anesthetist
  • York, PA
National Provider Identifier
1982141347
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
648013 Issued in PA
Practice address
110 Pine Grove CMNS
York, PA 17403-5151
Phone
(717) 741-5257
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 648013 PA Primary

Addresses

Primary practice location

110 Pine Grove CMNS
York, PA 17403-5151

Mailing address

115 Dietz Estates Dr
York, PA 17404-9713
Phone (808) 778-2566

Other names 1

  • Jenny Yamasaki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028002185 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446535074 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
648013PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2020 Accepting new patients
Anesthetic Solutions, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2019 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince May 5, 2024 Accepting new patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 21, 2019 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

689 NW Burnside Rd
Gresham, OR 97030
Phone (503) 382-8100

1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

12050 SE Stevens Rd
Ste 400
Portland, OR 97086
Phone (971) 206-6100

1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

13240 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 639-6571

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1982141347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 DIETZ ESTATES DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174049713",
            "telephone_number": "808-778-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PINE GROVE CMNS",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035151",
            "telephone_number": "717-741-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JENNY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "648013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "YAMASAKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.