Active NPI
Jacob Atkins, CRNA
- Certified Registered Nurse Anesthetist
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9331519
- Practice address
- 303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709 - Phone
- (386) 425-4000
- NPI assigned
- Feb 26, 2015
- Last updated
- Jan 3, 2024
- 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 | RN206727 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9331519 | FL | Primary |
Addresses
Primary practice location
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Mailing address
1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896
Phone (800) 437-2672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155
6901 Simmons Loop
Riverview, FL 33578-9498
Phone (813) 302-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
21 Hospital Dr
Ste 220
Palm Coast, FL 32164
Phone (386) 263-6020
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
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
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jatkins510376@direct.shands.ufl.edu
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1336531441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 HARRISON PKWY",
"address_2": "SUITE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232896",
"telephone_number": "800-437-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142709",
"telephone_number": "386-425-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "JACOB",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-26",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN206727",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9331519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Sharon Denise Astrologo
- Theodore Atkins Jr., ED.S.
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- Atlantic Coast Prosthodontics Inc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.