Jack Corbett
NPI 1639876261ActiveIndividual· Nurse Anesthetist, Certified Registered· Kingsport, TN
Nurse Anesthetist, Certified Registered in Kingsport, Tennessee, trained at Virginia Commonwealth University, School of Medicine (class of 2024). Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna).
Overview
| NPI | 1639876261 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 14, 2023 |
| Last updated in NPPES | Feb 18, 2025 |
| Certified by provider | Feb 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 37987 | TN |
| Registered Nurse | 163W00000X | 239734 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TN) |
|---|
Education and affiliations
| Medical school | Virginia Commonwealth University, School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Paragon Anesthesia PCBristol, TN · 211 clinicians
Hospital affiliation
- Johnson City Medical CenterJohnson City, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Anesthetist, Certified Registered providers in Kingsport
- 1649833062
- 1245777036
- 1497951826
- 1437436102
- 1619265550
- 1508847484
- 1336444231
- 1609537174
- 1508564501
- 1306808530
- 1730104282
- 1083653190
All Nurse Anesthetist, Certified Registered providers in Tennessee →