MRS. JENNIFER E NETTERVILLE CRNA
NPI 1710217492
Nurse Anesthetist, Certified Registered in Longview, TX

Q: What is Jennifer Netterville's NPI number?

The NPI number for Jennifer Netterville is 1710217492. It was assigned to this individual provider in the NPPES registry on January 2, 2010.

Q: What is Jennifer Netterville's specialty?

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

Active since January 02, 2010Accepts Medicare Assignment

700 E MARSHALL AVE, LONGVIEW, TX 75601(903) 315-2000 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Jennifer E Netterville Crna NPPES

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

MRS. JENNIFER E NETTERVILLE CRNA (NPI 1710217492) is an individual nurse anesthetist, certified registered in Longview, Texas, licensed in Louisiana (AP06036) and active in the NPI registry since January 2010. She is affiliated with Specialists Hospital Shreveport and is a graduate of Other (2009).

NPPES Registry Identity

NPI1710217492

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMRS. JENNIFER E NETTERVILLECredential: CRNA

Location Address700 E MARSHALL AVELongview, TX 75601-5580

Mailing Address392 Half Moon CtBossier City, LA 71111-5569 · (318) 347-5591 · Fax (318) 222-0724

Phone(903) 315-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 2, 2010

Last NPPES UpdateJune 27, 2019

✔ NPI 1710217492 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

License✔ Licensed in LA · AP06036

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 113324 (LA), 779616 (TX)

700 E MARSHALL AVE, Longview, TX 75601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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

Mrs. Jennifer E Netterville 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 ID3375667918

PECOS Enrollment IDI20111025000316

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Netterville reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Plaza Anesthesia Associates, LLC

50 mi

Anesthesiology

8731 PARK PLAZA DR STE B
Shreveport, LA 71105

Reassigned Medicare billing, Louisiana enrollment
4 clinicians in this Medicare group

NPI 1093335705 (318) 703-2643

Willis Knighton Medical Center Inc. Crna Group

56 mi

Anesthesiology

2600 GREENWOOD RD
Shreveport, LA 71103

Reassigned Medicare billing, Louisiana enrollment
146 clinicians in this Medicare group

NPI 1174546097 (318) 212-4877

Medical Center Anesthesiologists

57 mi

Anesthesiology

1 SAINT MARY PL, ANESTHESIA DEPT
Shreveport, LA 71101

Reassigned Medicare billing, Louisiana enrollment
78 clinicians in this Medicare group

NPI 1669469748 (318) 681-4440

Novus Louisiana Medical Professional Corporation

57 mi

Anesthesiology

1500 LINE AVE STE 206
Shreveport, LA 71101

Reassigned Medicare billing, Louisiana enrollment
41 clinicians in this Medicare group

NPI 1336926872 (318) 213-3800

Indep Anesthesia Services Of La LLC

62 mi

Nurse Anesthetist, Certified Registered

619 CALEDONIA DR
Bossier City, LA 71111

Reassigned Medicare billing, Louisiana enrollment
12 clinicians in this Medicare group

NPI 1275230443 (318) 675-7737

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 4

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 extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

32 services32 patients

Anesthesia for other procedure on lower spine 00630

Anesthesia for a lower spine procedure involves administering medication to block pain and sensation in your back. This ensures comfort and stillness during the procedure. The type of anesthesia used depends on the specific procedure and your overall health.

11 services11 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

11 services11 patients

Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance 01942

Anesthesia for nerve modulation or spine repair involves numbing the lower back area. This is done to ensure you don't feel pain during the procedure. The doctor uses imaging technology to accurately place the anesthetic. This makes the procedure safer and more effective.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Specialists Hospital Shreveport

Acute Care Hospitals · Shreveport, LA

OwnershipProprietary

CMS Certification Number190278

Location1500 Line AvenueShreveport, LA 71101 · Caddo County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

100%243 patients5/55-star benchmark: 100%

Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy

Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…

98%88 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ZEHRA HUSSAIN DO

Internal Medicine