Active NPI
Jeffrey C. Horstman, CRNA
- Certified Registered Nurse Anesthetist
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 083500-23
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5922
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9196064 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 083500-23 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5922
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305444600 | Medicaid | FL | |
| G3264 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NE, IN, AL
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
609 Versailles Dr SE
Huntsville, AL 35803-1725
PO Box
Birmingham, AL 35266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9196064 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tombigbee Healthcare Authority | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| South Central Ohio Anesthesia LLC | Current | Accepting new patients | |
| Tombigbee Healthcare Authority | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Past | Accepting new patients | |
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Past | Accepting new patients | |
| Cherry County Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
510 N Green St
Valentine, NE 69201
Phone (402) 376-3770
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
- Specialist
- Demopolis, AL
- NPI 1578690327
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Medical Oncology Physician
- North Platte, NE
- NPI 1134355332
-
- Rural Health Clinic/Center
- Linden, AL
- NPI 1225682537
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
-
- Surgery Physician
- Valentine, NE
- NPI 1518066513
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601164800000",
"number": "1013969120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSTMAN",
"first_name": "JEFFREY",
"middle_name": "C.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2020-09-27",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9196064",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "083500-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305444600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G3264",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.