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

Jessica Anne Egnor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740922863

Jessica Anne Egnor is a Certified Registered Nurse Anesthetist (CRNA) in South Charleston, West Virginia. Qualified in 2024, 2 years ago. Practices with Northstar Anesthesia of West Virginia PLLC, a 124-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
2
Licensed in
WV
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

100 Angus E Peyton Dr
South Charleston, WV 25303-1600
Phone: (615) 545-6495
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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 119870 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 84457 (WV)

Record details

NPI number1740922863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2022
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northstar Anesthesia Of West Virginia Pllc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Charleston