Individual provider Active NPI

Jeffrey Scott Jedynak, CRNA

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NV
National Provider Identifier
1154414373
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA000456 Issued in NV
Practice address
9260 W Sunset Rd
Ste. 200
Las Vegas, NV 89148-4858
Phone
(702) 255-3547
Fax
(702) 921-2419
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R172865 MD
Certified Registered Nurse Anesthetist 367500000X CRNA000456 NV Primary

Addresses

Primary practice location

9260 W Sunset Rd
Ste. 200
Las Vegas, NV 89148-4858

Mailing address

9260 W Sunset Rd
Ste. 200
Las Vegas, NV 89148-4858
Phone (702) 255-3547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141230000732 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466555883 Reassigns benefits to 3 organizations
I20240326001979 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466555883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.25 of 100Reported as group
Quality
74.41
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2024 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC CurrentSince Sep 1, 2019 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince May 1, 2025 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

1498 Pacific Ave
Ste 400
Tacoma, WA 98402
Phone (253) 682-6040

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1154414373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD",
            "address_2": "STE. 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484858",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD",
            "address_2": "STE. 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484858",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDYNAK",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R172865",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.

Verify at the official NPI Registry.