Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn M Johanboeke, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1508176058

Jaclyn M Johanboeke, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2010, 16 years ago. Practices with Anesthesiology Consultants Enterprises PLLC, a 117-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
16
Licensed in
KY
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

10207 Springhurst Gardens Cir
Louisville, KY 40241-5194
Phone: (502) 548-3117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1107361 (KY)

Record details

NPI number1508176058
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 18, 2010
Last updated in NPPESMarch 31, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Anesthesiology Consultants Enterprises Pllc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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