NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC
NPI 1730728270
Nurse Anesthetist, Certified Registered in Kernersville, NC

Q: What is Novant Health Kernersville Outpatient Surgery LLC's specialty?

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

Active since January 02, 2020CLIA 34D2145104 · Waiver

1730 KERNERSVILLE MEDICAL PKWY, STE 304, KERNERSVILLE, NC 27284(336) 515-7000(336) 515-7009 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Novant Health Kernersville Outpatient Surgery Llc NPPES

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

NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC (NPI 1730728270) is a healthcare organization registered as a nurse anesthetist, certified registered in Kernersville, North Carolina and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Jennifer Lynn O'brien, Administrator Asc, as its authorized official.

NPPES Registry Identity

NPI1730728270

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameNOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC

Location Address1730 KERNERSVILLE MEDICAL PKWY, STE 304Kernersville, NC 27284-7198

Mailing Address2085 Frontis Plaza BlvdWinston Salem, NC 27103-5614 · (336) 564-4938

Phone(336) 515-7000

Fax(336) 515-7009

Organization SubpartNo

Authorized OfficialJennifer Lynn O'brienAdministrator Asc · (336) 564-4938

Enumeration DateJanuary 2, 2020

✔ NPI 1730728270 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.

1730 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284

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Other Names 1

Other NameCrna Pro Fees

Other Identifiers 1

Medicaid1750892659NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Kernersville Outpatient Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

543

Medicare enrollment records show 543 clinicians reassign Medicare billing to Novant Health Kernersville Outpatient Surgery LLC, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.