JENNA SULLIVAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003223314

JENNA SULLIVAN (CRNA) is a healthcare provider. based in Omaha, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 68437 (NE). The NPI Number for JENNA SULLIVAN (CRNA) is 1003223314

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNA SULLIVAN (CRNA)
NPI
1003223314
Phone
Not provided
Address
7500 MERCY ROAD
Enumeration Date
18 July 2014
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6029235609
Graduation Year
2014 (12 years ago)
PAC ID
7416175401
Group Practice PAC ID
5294246526
Professional Enrollment ID
I20230705000197
Address ID
AZ850322112PH3929XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:11State licenses:3Digital endpointsOther names

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

Provider Addresses for JENNA SULLIVAN (CRNA)

  • 7500 MERCY ROAD

    OMAHA, NE 681242319

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $411.

Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Boston Scientific Corporation ($332).

Total Amount

$411

General + Research + Ownership

Payments

17

Total payment records

General Amount

$411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230705000197ICertified Registered Nurse Anesthetist (Crna)AZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance5942$0
00142Anesthesia for lens surgery4644$0
01942Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance2422$0
01939Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance2317$0
01992Anesthesia for nerve block and injection procedure, prone position1817$0
View full utilization report →

Insurance plans in this area (ZIP 68124)

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Provider's Procedures

JENNA SULLIVAN (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETNE01402Anesthesia for open or endoscopic total knee joint replacement1818

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294246526View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

Can I cross-check JENNA SULLIVAN (CRNA) using NPI 1003223314?
NPI 1003223314 belongs to JENNA SULLIVAN (CRNA); compare other details if you need extra assurance.
Is there an active status for JENNA SULLIVAN (CRNA)?
For scheduling context, JENNA SULLIVAN (CRNA) is shown as active in the registry.
What kind of doctor is JENNA SULLIVAN (CRNA)?
JENNA SULLIVAN (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Nebraska is JENNA SULLIVAN (CRNA) registered?
Use Omaha, Nebraska as the headline location for JENNA SULLIVAN (CRNA) here.
Does JENNA SULLIVAN (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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