Individual provider Active NPI

Jesse Wood

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1255947131
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11010611 Issued in FL
Practice address
124 S Morgan St Unit 1123
Tampa, FL 33602-5325
Phone
(607) 624-3546
NPI assigned
Sep 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X APRN11010611 FL Primary

Addresses

Primary practice location

124 S Morgan St Unit 1123
Tampa, FL 33602-5325

Mailing address

124 S Morgan St Unit 1123
Tampa, FL 33602-5325
Phone (607) 624-3546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107001407 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810300019 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Gulf-to-Bay Anesthesiology Associates LLCGroup PAC ID 5092628156, 330 clinicians

Practice addresses (Care Compare)

5013 N Armenia Ave
Tampa, FL 33603-1403
Phone (813) 875-0562

516 Vonderburg Dr
Brandon, FL 33511-5954
Phone (813) 654-7771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010611FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Mar 1, 2021 Accepting new patients
North Tampa Anesthesia Consultants CurrentSince Dec 17, 2020 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 28, 2021 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Mar 1, 2021 Accepting new patients
Jax Anesthesia Providers LLC CurrentSince Aug 19, 2024 Accepting new patients
Psa Anesthesia PLLC Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

516 Vonderburg Dr
Brandon, FL 33511
Phone (813) 654-7771

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

5013 N Armenia Ave
Tampa, FL 33603
Phone (813) 712-5700

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1255947131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MORGAN ST UNIT 1123",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025325",
            "telephone_number": "607-624-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MORGAN ST UNIT 1123",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025325",
            "telephone_number": "607-624-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11010611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.