JESSICA JONES GOTHAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1518205251
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
720 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WV
Provider Addresses for JESSICA JONES GOTHAM (CRNA)
1563 STONEY BATTERY RD
MARION, VA 243546887
Phone: (276) 685-2751
Type: Mailing
500 CHERRY ST
BLUEFIELD, WV 247013306
Phone: (304) 327-1656
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2020-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140717000986 | I | Certified Registered Nurse Anesthetist (Crna) | MD | TBD |
| I20200717001608 | I | Certified Registered Nurse Anesthetist (Crna) | FL | 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 |
|---|---|---|---|---|
| 00790 | Anesthesia for other procedure on upper abdomen | 26 | 26 | $0 |
| 00840 | Anesthesia for other procedure on lower abdomen | 21 | 21 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 18 | 18 | $0 |
| 01638 | Anesthesia for open or endoscopic total shoulder joint replacement | 17 | 17 | $0 |
| 01214 | Anesthesia for total hip replacement | 11 | 11 | $0 |
Insurance plans in this area (ZIP 24354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | FL | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL |
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