Jeffrey Hafendorfer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN11043927 Issued in FL

Practice address

3625 University Blvd S
Jacksonville, FL 32216-4207

Phone

(904) 200-8482

NPI assigned

Feb 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, TN, MD, DC, NY, FL, GA7 enrollments

Enrollment records 7

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Assoc of MarylandGroup PAC ID 7012106610, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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 Assoc of Maryland

  • Anesthesiology Physician
  • Salisbury, MD
  • NPI 1437464120

  DC

  Medicare reassignment Care Compare group NPD
• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127
  Medicare reassignment NPD
• Resource Anesthesiology Associates of TN PC

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1316724073

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• SE Georgia Anesthesia, LLC

  • Anesthesiology Physician
  • Vidalia, GA
  • NPI 1518542919

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Universal Anesthesia Services LLC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1164696282

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Upstate Anesthesia Services, P.C.

  • Anesthesiology Physician
  • East Meadow, NY
  • NPI 1629272141
  Medicare reassignment NPD
• Anesthesia Medicine Services of FL, LLC

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

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1366716284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 GRAND ISLE WAY",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164207",
            "telephone_number": "904-200-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFENDORFER",
        "first_name": "JEFFREY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11043927",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "CRNA004068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph William Haddock, MD.
• Kelsey Haddock
• Emir Hadziavdic
• Amra Hadzic, M.D.
• Virginia Ann Haesler
• Brenda Eileen Haga, MS
• Claire Haga, MD
• Hagan Assisted Living Facility
• Hagan Homemaker Companion Service
• Chandala Monique Hagans, APRN

• Certified Registered Nurse Anesthetist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.