Individual provider Active NPI

Jayne P Van Tol, CRNA

  • Certified Registered Nurse Anesthetist
  • Norway, ME
National Provider Identifier
1235180795
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100407 Issued in NE
Practice address
180 Main St
Norway, ME 04268
Phone
(207) 743-5933
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100407 NE Primary

Addresses

Primary practice location

180 Main St
Norway, ME 04268

Mailing address

180 Main Street
Norway, ME 04268
Phone (207) 743-5933

Other identifiers 1

IdentifierTypeStateIssuer
47078557515MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100407NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Somnicare Anesthesia & Spine Intervention Specialist, Inc CurrentSince Jun 21, 2017 Accepting new patients
Mills Ave Anesthesia LLC CurrentSince Nov 6, 2017 Accepting new patients
MNH Gi Anesthesia & Pain Management LLC CurrentSince Jul 22, 2017 Accepting new patients
Rest Assured Anesthesia CurrentSince Mar 20, 2018 Accepting new patients
Villages Anesthesia Associates LLC CurrentSince Apr 1, 2018 Accepting new patients
Northwest Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Halifax Anesthesiology Associates PA PastSince May 15, 2013 Accepting new patients
Volusia Anesthesia Associates Past Accepting new patients
Professional Anesthesia Services LLP Past Accepting new patients

Locations

740 Concourse Pkwy S
Ste 100
Maitland, FL 32751
Phone (407) 644-4222

1825 N Mills Ave
Orlando, FL 32803
Phone (407) 206-2375

10900 SE 174th Place Rd
Ste D
Summerfield, FL 34491
Phone (352) 245-7427

1878 Mayo Dr
Tavares, FL 32778
Phone (352) 508-5401

8564 E County Road 466
Ste 101
The Villages, FL 32162
Phone (352) 561-4950

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1235180795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAIN STREET",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "04268",
            "telephone_number": "207-743-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "04268",
            "telephone_number": "207-743-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TOL",
        "first_name": "JAYNE",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078557515",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.