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

Jessica Peyton Pack

Individual provider Registered Nurse · NPI 1184364580

Jessica Peyton Pack is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2022, 4 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

501 Morris St
Charleston, WV 25301-1326
Phone: (304) 388-5432
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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 116714 (WV)
Registered Nurse Taxonomy 163W00000X · Licence 97191 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184364580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charleston