Jennifer Larae Heavenston, CRNA
NPI 1700170388ActiveIndividual· Nurse Anesthetist, Certified Registered· Stockton, CA
Nurse Anesthetist, Certified Registered (CRNA) with Permanente Medical Group Inc and 2 other groups, practicing in Stockton, California. Medicare paid $4,509 for services to 40 patients in 2024. Lists Kaiser Foundation Hosp So Sacramento as a hospital affiliation.
Overview
| NPI | 1700170388 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jun 1, 2011 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 4011 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 42 across 6 procedure codes |
| Paid by Medicare | $4,509 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
- Vallot Nurse Anesthesia, A Professional CorporationRed Bluff, CA · 15 clinicians
- Vinod C BhanStockton, CA · 6 clinicians
Hospital affiliation
- Kaiser Foundation Hosp So SacramentoSacramento, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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