JENNIFER FAILLACE CRNA
NPI 1124765755
Nurse Anesthetist, Certified Registered in Brunswick, GA

Q: What is Jennifer Faillace's NPI number?

The NPI number for Jennifer Faillace is 1124765755. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Q: What is Jennifer Faillace'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 Jennifer Faillace was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 May 16, 2022Accepts Medicare Assignment

2415 PARKWOOD DR, BRUNSWICK, GA 31520(912) 466-7000 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, May 16, 2022 (2 updates tracked since 2022).

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About Jennifer Faillace Crna NPPES

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

JENNIFER FAILLACE CRNA (NPI 1124765755) is an individual nurse anesthetist, certified registered in Brunswick, Georgia, licensed in Georgia (RN264688) and active in the NPI registry since May 2022. She is affiliated with Hca Florida University Hospital and is a graduate of Other.

NPPES Registry Identity

NPI1124765755

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJENNIFER FAILLACECredential: CRNA

Location Address2415 PARKWOOD DRBrunswick, GA 31520-4722

Mailing Address200 Driftwood Dr Apt 1Saint Simons Island, GA 31522-3805 · (678) 591-9474

Phone(912) 466-7000

Sole ProprietorNo

Medical School CMSOther

Enumeration DateMay 16, 2022

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1124765755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code367500000X

Licenses✔ Licensed in GA · RN264688✔ Licensed in FL · APRN11025891

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN264688 (GA)

2415 PARKWOOD DR, Brunswick, GA 31520

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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

Jennifer Faillace 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 ID8820479702

PECOS Enrollment IDI20241010001708

Hospital Affiliations CMS Care Compare

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

Hca Florida University Hospital

Acute Care Hospitals · Davie, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100360

Location3476 S University DrDavie, FL 33328 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31520 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

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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.

JAYDA SKYE ANDERSON

Nurse Anesthetist, Certified Registered