MRS. JENNIFER RAE AMBROSE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013147693
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
133 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AK
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Provider Addresses for MRS. JENNIFER RAE AMBROSE (CRNA)
4100, Lake Otis Parkway, Rogers Park, Anchorage, Alaska, 99508, United States
SUITE 222
ANCHORAGE, AK 995085229
Phone: (612) 269-1918
Type: Location
16015, Sunset Bend Circle, Goldenview Park, Anchorage, Alaska, 99516, United States
ANCHORAGE, AK 995167576
Phone: (612) 269-1918
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $315.
Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($182).
Total Amount
$315
General + Research + Ownership
Payments
12
Total payment records
General Amount
$315
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $182 |
| ABBVIE INC. | $59 |
| Merck Sharp & Dohme LLC | $59 |
| Intercept Pharmaceuticals, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231207003818 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 65 | 65 | $0 |
| 00142 | Anesthesia for lens surgery | 53 | 47 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 22 | 22 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 99508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| G A S T R O E N T E R O L O G Y | CO |
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