Individual provider Active NPI

Jeremy Stephen Carter, CRNA

  • Certified Registered Nurse Anesthetist
  • San Anselmo, CA
National Provider Identifier
1982985495
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000089 Issued in CA
Practice address
1110 Sir Francis Drake Blvd
San Anselmo, CA 94960-1726
Phone
(415) 306-2768
NPI assigned
Aug 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 95000089 CA Primary

Addresses

Primary practice location

1110 Sir Francis Drake Blvd
San Anselmo, CA 94960-1726

Mailing address

1110 Sir Francis Drake Blvd
San Anselmo, CA 94960-1726
Phone (415) 306-2768

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141208000646 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517130289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Anesthesia IncGroup PAC ID 8224197108, 21 clinicians

Practice addresses (Care Compare)

5201 Norris Canyon Rd
Suite 100
San Ramon, CA 94583-5410
Phone (925) 973-0605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95000089CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Anesthesia Inc CurrentSince Oct 9, 2025 Accepting new patients
First Choice Physician Partners CurrentSince Apr 14, 2025 Accepting new patients
First Choice Physician Partners CurrentSince Apr 14, 2025 Accepting new patients
Amsurg Marin Anesthesia LP CurrentSince May 3, 2014 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Past Accepting new patients
Anesthesia Associates, LTD Past Accepting new patients

Locations

20400 Lake Chabot Rd
Ste 201
Castro Valley, CA 94546
Phone (510) 538-9900

575 Sir Francis Drake Blvd
Ste 3
Greenbrae, CA 94904
Phone (415) 925-1030

1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

5801 Norris Canyon Rd
Ste 230
San Ramon, CA 94583
Phone (925) 275-9910

5201 Norris Canyon Rd
Ste 100
San Ramon, CA 94583
Phone (925) 872-1700

5601 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 277-3070

Organizations & group practices 7

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1982985495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601726",
            "telephone_number": "415-306-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601726",
            "telephone_number": "415-306-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEREMY",
        "middle_name": "STEPHEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.