JOHN G CHARBONNEAU CRNA
NPI 1013903863
Nurse Anesthetist, Certified Registered in Jefferson City, MO

Q: What is John Charbonneau's NPI number?

The NPI number for John Charbonneau is 1013903863. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is John Charbonneau's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for John Charbonneau was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2005Accepts Medicare Assignment

1445 CHRISTY DR, JEFFERSON CITY, MO 65101(573) 636-3483(573) 636-5315 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John G Charbonneau Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN G CHARBONNEAU CRNA (NPI 1013903863) is an individual nurse anesthetist, certified registered in Jefferson City, Missouri, licensed in Missouri (154434) and active in the NPI registry since September 2005. He is affiliated with Ssm Health St Mary's Hospital Jefferson City and is a graduate of Other (1995).

NPPES Registry Identity

NPI1013903863

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJOHN G CHARBONNEAUCredential: CRNA

Location Address1445 CHRISTY DRJefferson City, MO 65101-2853

Mailing Address1445 Christy DrJefferson City, MO 65101-2853 · (573) 636-3483 · Fax (573) 636-5315

Phone(573) 636-3483

Fax(573) 636-5315

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 26, 2005

Last NPPES UpdateOctober 15, 2007

✔ NPI 1013903863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MO · 154434

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1445 CHRISTY DR, Jefferson City, MO 65101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John G Charbonneau Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214061365

PECOS Enrollment IDI20100811000990

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

68 services65 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260011

Location2505 Mission DriveJefferson City, MO 65109 · Cole County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL G. BONE CRNA

Nurse Anesthetist, Certified Registered