Jennifer Corbid

Individual provider Active NPI Certified Registered Nurse Anesthetist · Rolla, MO

NPI 1992594055 · NPPES record last updated Jun 24, 2025

Key facts

NPI
1992594055
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
2025023339 (MO)
Practice address
1000 W 10TH St
Rolla, MO 65401-2905
Phone
(573) 458-8899
Fax
(573) 341-5611
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
Yes

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phelps County Regional Medical Center (111 clinicians)

Practice addresses (Care Compare)

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

Hospital & facility affiliations

  • Phelps County Regional Medical Center Hospital · Rolla, MO · CCN 260017

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250716000418 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072028208 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2025023339MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Phelps County Regional Medical Center Current
since Jul 15, 2025
Accepting new patients
Phelps County Regional Medical Center Current
since Jul 15, 2025
Accepting new patients

Locations

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2025023339 MO Yes

Addresses

Primary practice location

1000 W 10TH St
Rolla, MO 65401-2905

Mailing address

412 S Rolla St
Rolla, MO 65401-4064

Other providers in Rolla, MO

All providers in Rolla, MO · Certified Registered Nurse Anesthetist in Missouri

Sources for this page

Verify at the official NPI Registry.