Individual provider Active NPI

James Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Fredericksburg, VA
National Provider Identifier
1982660957
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024176880 Issued in VA
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 741-1610
Fax
(540) 741-2612
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 0024176880 VA Primary
Certified Registered Nurse Anesthetist 367500000X 10886 TN

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Mailing address

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1610

Other identifiers 1

IdentifierTypeStateIssuer
3634639MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY, VA, DC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120202000121 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214980473 Reassigns benefits to 1 organization
I20170627000702 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214980473 Reassigns benefits to 1 organization
I20190606000342 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214980473 Reassigns benefits to 5 organizations
I20191120002003 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214980473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10886TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Mar 20, 2019 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Aug 1, 2024 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Jun 1, 2024 Accepting new patients
Southern Perioperative Services P C CurrentSince Aug 14, 2012 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince May 13, 2017 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2023 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Mar 20, 2019 Accepting new patients
Weill Medical College of Cornell CurrentSince May 13, 2017 Accepting new patients

Locations

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1500 Concord Ter
Fl 3
Sunrise, FL 33323

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1211 Central Park Blvd
Fredericksburg, VA 22401
Phone (267) 742-8283

1031 Care Way
Fredericksburg, VA 22401
Phone (540) 371-7600

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 9

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1982660957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-1610",
            "fax_number": "540-741-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-1610",
            "fax_number": "540-741-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024176880",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3634639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.