MRS. JEANETTE SUSAN BERRY CRNA NPI 1124018486

Nurse Anesthetist, Certified Registered in Sitka, AK

NPI 1124018486 Individual Female Nurse Anesthetist, Certified Registered

NPI Profile for MRS. JEANETTE SUSAN BERRY CRNA

Jeanette Berry is a provider established in Sitka, Alaska and her medical specialization is nurse anesthetist, certified registered. The NPI number of Jeanette Berry is 1124018486 and was assigned on October 2005. The practitioner's primary taxonomy code is 367500000X with license number 303 (AK). The provider is registered as an individual and her NPI record was last updated 13 years ago.

Jeanette Berry is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1124018486

Provider NameMRS. JEANETTE SUSAN BERRY CRNA
Provider Location Address222 TONGASS DR SITKA, AK 99835
Provider Mailing Address222 TONGASS DR SITKA, AK 99835
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-26-2005
Last Update Date06-30-2009


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.303
License StateAK
Taxonomy Description(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.

Business Address

MRS. JEANETTE SUSAN BERRY CRNA
222 TONGASS DR
SITKA, AK
ZIP 99835
Phone: (907) 966-8837
Fax: (907) 966-8807

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Mailing Address

MRS. JEANETTE SUSAN BERRY CRNA
222 TONGASS DR
SITKA, AK
ZIP 99835
Phone: (907) 966-8837
Fax: (907) 966-8807



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredAP30006997WANo

Taxonomy Description: (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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8EE816MEDICARE PIN (08)AK

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124018486
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440116416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 1 + 6 + 4 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1124018486 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003893611DR. JERRY Z AINSWORTH MD
Individual
Otolaryngology222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1437136041MS. TIFFANY NICOLLE ANDRES MS, RD
Individual
Dietitian, Registered222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1124005731DR. JOHN A BACIOCCO MD
Individual
Family Medicine222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1710964341MS. NANCY JO BLEIER LCSW
Individual
Social Worker (Clinical)222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1356328983MS. SEIMEEN BONE LCSW
Individual
Social Worker (Clinical)222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1114986718DR. MICHAEL EUGENE WALKER MD
Individual
Radiology (Diagnostic Radiology)222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1881645059MRS. RACHAEL J NIKKOLA CRNA
Individual
Nurse Anesthetist, Certified Registered222 TONGASS DR
SITKA, AK 99835
(907) 966-8421
1063459600 SUSAN HOYT RD
Individual
Dietitian, Registered222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1679509103MR. JAMES H MELLEMA CRNA
Individual
Nurse Anesthetist, Certified Registered222 TONGASS DR ANESTHESIA DEPT
SITKA, AK 99835
(907) 966-8837
1891722526DR. GORDON KAY LARSON M.D.
Individual
Anesthesiology222 TONGASS DR
SITKA, AK 99835
(907) 966-8421
1023046638DR. PAMELA MICHELE STEFFES O.D.
Individual
Optometrist222 TONGASS DR
SITKA, AK 99835
(907) 966-8415
1598797326 KIM HANSEN CRT
Individual
Respiratory Therapist, Certified222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1407888233 JOHN KIRKPATRICK RRT
Individual
Respiratory Therapist, Registered222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1154354652 JULIEN LOUISE NAYLOR MD
Individual
Internal Medicine222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1235145814 TODD MICHAEL GEBLER RT
Individual
Respiratory Therapist, Certified222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1598862450 LAWRENCE JACKMAN MD
Individual
Obstetrics & Gynecology222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1942307822DR. VALERIE SUZANNE EDWARDS M.D.
Individual
Family Medicine222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1720174634 EMORY T GONZALES MD
Individual
Radiology (Body Imaging)222 TONGASS DR
SITKA, AK 99835
(907) 966-2411
1013003938DR. SUL ROSS OLEN THORWARD MD
Individual
Psychiatry & Neurology (Psychiatry)222 TONGASS DR SEARHC CLINIC II
SITKA, AK 99835
(907) 966-8611
1952491466 ROBERT HOWARD CARLSON MD
Individual
Family Medicine222 TONGASS DR
SITKA, AK 99835
(907) 966-2411

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mrs. Jeanette Susan Berry Crna is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.