JACQUELINE ODHIAMBO CRNA
NPI 1912530288
Nurse Anesthetist, Certified Registered in Newport News, VA

Q: What is Jacqueline Odhiambo's NPI number?

The NPI number for Jacqueline Odhiambo is 1912530288. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Q: What is Jacqueline Odhiambo's specialty?

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

Active since February 14, 2020Accepts Medicare Assignment

2 BERNARDINE DR, NEWPORT NEWS, VA 23602(757) 886-6000 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2026, Jan 28, 2026, Mar 3, 2025 and 1 more (4 updates tracked since 2020).

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About Jacqueline Odhiambo Crna NPPES

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

JACQUELINE ODHIAMBO CRNA (NPI 1912530288) is an individual nurse anesthetist, certified registered in Newport News, Virginia, licensed in Virginia (0024196175) and active in the NPI registry since February 2020. She is affiliated with Covenant Medical Center, maintains a secondary practice location in Houston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912530288

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJACQUELINE ODHIAMBOCredential: CRNA

Location Address2 BERNARDINE DRNewport News, VA 23602-4404

Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991

Phone(757) 886-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 14, 2020

Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1912530288 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 VA · 0024196175✔ Licensed in TX · 1101543

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.

2 BERNARDINE DR, Newport News, VA 23602

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Secondary Practice Location 1

Location 11515 Holcombe BlvdHouston, TX 77030-4000 · Phone (713) 792-6161

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Jacqueline Odhiambo 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 ID1456716836

PECOS Enrollment IDI20230509000787, I20260316000483, I20260511001243

Medicare Billing Reassignments

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

Smg Anesthesia Specialists LLC

34 mi

Anesthesiology

2025 GLENN MITCHELL DR
Virginia Beach, VA 23456

Reassigned Medicare billing, Virginia enrollment
707 clinicians in this Medicare group

NPI 1518205004 (757) 507-1000

American Anesthesiology Of Virginia PC

124 mi

Anesthesiology

3300 GALLOWS RD
Falls Church, VA 22042

Reassigned Medicare billing, Virginia enrollment
1,217 clinicians in this Medicare group

NPI 1417994872 (037) 764-0017

Ntx Anesthesiology Consultants PLLC

1,201 mi

Anesthesiology

2400 N I 35
Waxahachie, TX 75165

Reassigned Medicare billing, Texas enrollment
234 clinicians in this Medicare group

NPI 1912410739 (855) 285-2455

Northstar Anesthesia, PA

1,203 mi

Anesthesiology

2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006

Reassigned Medicare billing, Texas enrollment
1,164 clinicians in this Medicare group

NPI 1912978610 (817) 861-3994

Banner-University Medical Group

1,972 mi

Nutrition, Education

8290 S HOUGHTON RD STE 150
Tucson, AZ 85747

Reassigned Medicare billing, Arizona enrollment
1,514 clinicians in this Medicare group

NPI 1508673682 (520) 874-3111

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

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 upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450040

Location3615 19th StreetLubbock, TX 79410 · Lubbock County

Emergency services

Lubbock Heart Hospital LP

Acute Care Hospitals · Lubbock, TX

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450876

Location4810 North Loop 289Lubbock, TX 79416 · Lubbock County

Emergency services

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490041

Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23602 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

XIA LI

Hospitalist