ABBOTT ANESTHESIA APRN-CRNA PC
NPI 1306464789
Nurse Anesthetist, Certified Registered in Edmond, OK

Active since July 11, 2020
3957 E COVELL RD, EDMOND, OK 73034(405) 285-7246(405) 513-8143 Get Directions Write a Review

NPPES record last updated: July 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Abbott Anesthesia Aprn-crna Pc NPPES

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

ABBOTT ANESTHESIA APRN-CRNA PC (NPI 1306464789) is a healthcare organization registered as a nurse anesthetist, certified registered in Edmond, Oklahoma and active in the NPI registry since July 2020. The organization lists Jordan Walter Abbott, Crna, as its authorized official.

NPPES Registry Identity

NPI1306464789
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameABBOTT ANESTHESIA APRN-CRNA PC
Location Address3957 E COVELL RDEdmond, OK 73034-6909
Mailing AddressPo Box 660257Birmingham, AL 35266-0257 · (205) 979-5882 · Fax (205) 979-1248
Fax(405) 513-8143
Organization SubpartNo
Authorized OfficialJordan Walter AbbottCrna · (405) 922-3246
Enumeration DateJuly 11, 2020
NPPES CertifiedJuly 11, 2020
✔ NPI 1306464789 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
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.
3957 E COVELL RD, Edmond, OK 73034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abbott Anesthesia Aprn-crna Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Abbott Anesthesia Aprn-Crna PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1750777348
700 NE 13TH ST
Oklahoma City, OK 73104
(405) 271-5813
✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abbott Anesthesia Aprn-Crna PC's NPI number?

The NPI number for Abbott Anesthesia Aprn-Crna PC is 1306464789. It was assigned to this organization in the NPPES registry on July 11, 2020.

Where is Abbott Anesthesia Aprn-Crna PC located?

Abbott Anesthesia Aprn-Crna PC is located at 3957 E Covell Rd, Edmond, OK 73034. The listed phone number is (405) 285-7246.

What is Abbott Anesthesia Aprn-Crna PC's specialty?

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

Is Abbott Anesthesia Aprn-Crna PC enrolled in Medicare?

Yes. Abbott Anesthesia Aprn-Crna PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abbott Anesthesia Aprn-Crna PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Abbott Anesthesia Aprn-Crna PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Abbott Anesthesia Aprn-Crna PC was last updated on July 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.