MS. JENNIFER FAIRCLOTH CRNA
NPI 1710210273
Nurse Anesthetist, Certified Registered in Wilmington, NC

Active since September 15, 2009PECOS EnrolledAccepts Medicare Assignment
2511 DELANEY AVE, WILMINGTON, NC 28403(910) 667-9328 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2025, Apr 12, 2024, Mar 17, 2021 and 1 more (4 updates tracked since 2019).

About Ms. Jennifer Faircloth Crna NPPES

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

MS. JENNIFER FAIRCLOTH CRNA (NPI 1710210273) is an individual nurse anesthetist, certified registered in Wilmington, North Carolina, licensed in North Carolina (159820) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1710210273
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. JENNIFER FAIRCLOTHCredential: CRNA
Location Address2511 DELANEY AVEWilmington, NC 28403-6003
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-6448 · Fax (910) 615-5070
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 15, 2009
Last NPPES UpdateMarch 21, 20254 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1710210273 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
Licenses✔ Licensed in NC · 159820✔ Licensed in KY · 4029912✔ Licensed in WA · AP61525326
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.
2511 DELANEY AVE, Wilmington, NC 28403

Secondary Practice Locations 3

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-5132 · Fax (910) 615-5070
Location 2101 W 8th AveSpokane, WA 99204-2307 · Phone (509) 474-3131
Location 3800 Rose StLexington, KY 40536-6003 · Phone (859) 323-5956 · Fax (859) 323-1080

Other Identifiers 1

MedicaidPENDINGNC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer Faircloth 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 ID1153468186
PECOS Enrollment IDI20250505002848, I20260528002388
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

16

Medicare enrollment records show Jennifer Faircloth reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Undersea and Hyperbaric Medicine
2259 S 17TH ST
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 335 clinicians in this Medicare group
Specialist
518 BEAMAN ST
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 33 clinicians in this Medicare group
Anesthesiology
1139 LEXINGTON AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 468 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
Anesthesiology
3241 SW 34TH ST
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 77 clinicians in this Medicare group
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
Vascular & Interventional Radiology
8075 SPYGLASS HILL RD
Melbourne, FL 32940
  • Reassigned Medicare billing, Florida enrollment
  • 378 clinicians in this Medicare group
Adult Medicine
217 ELM TREE LN
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
Anesthesiology
2600 BRUCE B DOWNS BLVD
Wesley Chapel, FL 33544
  • Reassigned Medicare billing, Florida enrollment
  • 749 clinicians in this Medicare group
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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 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.
26 services26 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
23 services23 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Jennifer Faircloth's NPI number?

The NPI number for Jennifer Faircloth is 1710210273. It was assigned to this individual provider in the NPPES registry on September 15, 2009.

Where is Jennifer Faircloth located?

Jennifer Faircloth practices at 2511 Delaney Ave, Wilmington, NC 28403. The listed phone number is (910) 667-9328.

What is Jennifer Faircloth's specialty?

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

Is Jennifer Faircloth enrolled in Medicare?

Yes. Jennifer Faircloth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Faircloth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Faircloth reassigns Medicare benefits to 16 organizations: Novant Health New Hanover Regional Medical Center LLC (Wilmington, NC), Sampson Regional Medical Services, LLC (Clinton, NC), Coastal Ambulatory Anesthesia LLC (Savannah, GA), Gi Anesthesia Of Georgia LLC (Gainesville, GA), Apollo Medical Group Of Ocala LLC (Ocala, FL) and 11 more organizations, listed in the Medicare section above. Each 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 Jennifer Faircloth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Faircloth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Blue Cross Blue Shield of Arizona and Cigna Healthcare list Jennifer Faircloth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Faircloth affiliated with any hospitals?

According to CMS data, Jennifer Faircloth is affiliated with Memorial University Medical Center, University Of Kentucky Hospital and Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Faircloth was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.