Jedidiah Polete, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP09081 Issued in LA

Practice address

129 W Lake Mead Pkwy
Suite B18
Henderson, NV 89015-6954

Phone

(702) 564-4440

Fax

(702) 558-1522

NPI assigned

Dec 23, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

Merit-based Incentive Payment System (MIPS)

Final score

94.8 of 100Reported as group

Quality

99.47

Improvement activities

40

Cost

83.62

Merit-based Incentive Payment System (MIPS)

Final score

47.54 of 100Reported as apm

Quality

38.49

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations (25 of 39)

Networks

• Freedom Health HMO Network

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529
  Medicare reassignment Care Compare group NPD
• Amsurg Citrus Anesthesia LLC

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1255774212
  Medicare reassignment NPD
• Amsurg Melbourne Anesthesia LLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1477958189
  Medicare reassignment NPD
• Apollo Medical Group of Ocala LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1477326908

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Capital Anesthesia Solutions of Florida II, LLC

  • Anesthesiology Physician
  • Naples, FL
  • NPI 1891318481
  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Florida Clinical Practice Association Inc

  dba UF Health Physicians

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127
  Medicare reassignment NPD
• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Medicine Services of FL, LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1346947496
  Medicare reassignment

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

• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1336560028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 PETERMAN DR",
            "address_2": "SUITE B18",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013432",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "SUITE B18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156954",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLETE",
        "first_name": "JEDIDIAH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-23",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP09081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Podrabsky
• Suzanne Podrebarac
• Steven Poertner, M.D.
• Sherry Poinier
• Pokroy Medical Group of Nevada, LTD. (Pediatrix Medical Group of Nevada, Ltd.)
• Barbara Polinsky
• Joseph Poliquin
• Bruna Polonia, OMD
• Summer Caitlyn Polselli
• Louise Polzel, LCSW

• Certified Registered Nurse Anesthetist in Henderson, NV
• Providers in Henderson, NV by specialty
• Certified Registered Nurse Anesthetist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.