Mrs Jacquelin N Victory, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Greenville, NC

Mrs Jacquelin N Victory, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Chs Anesthesia Services Group Inc and her current practice location is 2100 Stantonsburg Rd, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 847-4100.

Mrs Jacquelin N Victory is licensed to practice in North Carolina (license number 6646) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073123790.

Contact Information

Mrs Jacquelin N Victory, RN
2100 Stantonsburg Rd,
Greenville, NC 27834-2818
(252) 847-4100
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacquelin N Victory
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location2100 Stantonsburg Rd, Greenville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jacquelin N Victory graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1073123790
  • Provider Enumeration Date: 08/06/2020
  • Last Update Date: 06/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648679035
  • Enrollment ID: I20210607000113

Medical Identifiers

Medical identifiers for Mrs Jacquelin N Victory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073123790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 262101 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 6646 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Health UnionMonroe, NCHospital
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chs Anesthesia Services Group Inc5799007324548

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jacquelin N Victory allows following entities to bill medicare on her behalf.
Entity NameChs Anesthesia Services Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346649415
PECOS PAC ID: 5799007324
Enrollment ID: O20141209001856

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacquelin N Victory is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jacquelin N Victory, RN
1419 Doctor Blair Rd,
Marshville, NC 28103-9706

Ph: (704) 201-4230
Mrs Jacquelin N Victory, RN
2100 Stantonsburg Rd,
Greenville, NC 27834-2818

Ph: (252) 847-4100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Greenville, NC

Kathryn Donato, RN, BSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 252-847-4100    
Robert N Maclennan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2430 Emerald Pl, Suite 201, Greenville, NC 27834
Phone: 252-752-2140    Fax: 252-752-3949
Bethany Hardesty,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2080 W Arlington Blvd Ste B, 7th Floor, Greenville, NC 27834
Phone: 252-752-2140    
Leah S Feyh, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2430 Emerald Pl, Suite 201, Greenville, NC 27834
Phone: 252-752-2140    Fax: 252-752-3949
Ms. Suzanne Paschall Respess, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2430 Emerald Pl, Suite 201, Greenville, NC 27834
Phone: 252-752-2140    Fax: 252-752-8054
Andrew Michael Bolick, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2430 Emerald Pl Ste 201, Greenville, NC 27834
Phone: 252-752-2140    
Andrea Hobgood Edwards, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2080 W Arlington Blvd Ste B, Greenville, NC 27834
Phone: 252-752-2140    Fax: 252-689-6502

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.