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

Jeremy Carpenter, CRNA

Individual provider Acute Care Nurse Practitioner · NPI 1235356064

Jeremy Carpenter, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2010, 16 years ago. Practices with Camden-Clark Physician Corporation, a 346-clinician group and accepts Medicare assignment. Licensed in Ohio, Pennsylvania and West Virginia.

Years since qualifying
16
Licensed in
OH, PA, WV
In the registry since
2007
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-5432
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.12311 (OH)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence SP009322 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 57744 (WV)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence COA.12311-NA (OH)

Record details

NPI number1235356064
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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 Camden-Clark Physician Corporation — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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