Individual provider Active NPI

Jebb S Ainsworth, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1336446194
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9245704 Issued in FL
Practice address
6900 Turkey Lake Rd
Orlando, FL 32819-4707
Phone
(407) 354-5401
NPI assigned
Feb 14, 2011
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 ARNP9245704 FL Primary

Addresses

Primary practice location

6900 Turkey Lake Rd
Orlando, FL 32819-4707

Mailing address

15977 Johns Lake Overlook Dr
Winter Garden, FL 34787-9790
Phone (251) 213-5977

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidFL
PENDINGOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110425000421 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820273584 Reassigns benefits to 10 organizations
I20260518001773 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820273584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Ams Anesthetist Services LLCGroup PAC ID 8325298458, 149 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 782-3282

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 703-2886

5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (850) 202-4700

6733 Gall Blvd
Zephyrhills, FL 33542-2522
Phone (813) 783-8242

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
United Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Orlando Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2015 Accepting new patients
Steve Nguyen MD PA CurrentSince Jun 15, 2022 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 8, 2023 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2011 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Nature Coast Anesthesia Providers, P.a. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Innovative Medical Staffing Solutions Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2022 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Mohawk Surgery Center LLC Past Accepting new patients

Locations (25 of 32)

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

921 N Main St
Kissimmee, FL 34744
Phone (407) 933-2448

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

291 Southhall Ln
Ste 201
Maitland, FL 32751
Phone (407) 687-0444

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

17560 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-7855

3710 Lake Center Dr
Mount Dora, FL 32757
Phone (352) 383-1268

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

1600 SE 17th St
Ocala, FL 34471
Phone (615) 240-3720

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272

5979 Vineland Rd
Ste 101
Orlando, FL 32819
Phone (407) 355-3120

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

6900 Turkey Lake Rd
Orlando, FL 32819
Phone (407) 354-5401

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1336446194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15977 JOHNS LAKE OVERLOOK DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879790",
            "telephone_number": "251-213-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TURKEY LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194707",
            "telephone_number": "407-354-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "JEBB",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9245704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.