Jed Leifson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

130221 Issued in IN

Practice address

3630 Willowcreek Rd
Portage, IN 46368-5075

Phone

(219) 364-3000

NPI assigned

Dec 15, 2019

Sex

Male

Sole proprietor

Yes

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 IN, FL, HI3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pec Anesthesia LLCGroup PAC ID 3870748023, 19 clinicians

Greater Ocala Anesthesia Associates LLCGroup PAC ID 4284139320, 16 clinicians

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Northern Indiana Anesthesia Associates, LLCGroup PAC ID 6709234750, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: jed.leifson.1@16383.direct.athenahealth.com

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.

• Northern Indiana Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • South Bend, IN
  • NPI 1033891510

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Greater Ocala Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Summerfield, FL
  • NPI 1023992625

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Pec Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Pearl City, HI
  • NPI 1528305208

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Centers for Pain Control, Inc

  • Pain Medicine Physician
  • La Porte, IN
  • NPI 1790920452
  Medicare reassignment NPD
• Jebs Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • La Porte, IN
  • NPI 1790447761
  Medicare reassignment NPD
• Porter County Anesthesia Associates PC

  • Anesthesiology Physician
  • Valparaiso, IN
  • NPI 1215974936
  Medicare reassignment NPD
• Crystal River Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Crystal River, FL
  • NPI 1437718392

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Metro Orlando Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1558981712

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Indiana II, LLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1629475421

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Orange County Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1003434762

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Care Associates, LLC

  • Certified Registered Nurse Anesthetist
  • South Bend, IN
  • NPI 1073899449

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1396383881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025626",
            "telephone_number": "941-360-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685075",
            "telephone_number": "219-364-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFSON",
        "first_name": "JED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-15",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28255655A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "130221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Latinovic
• Traci Lauder
• Megan Lawrence
• Kelly Learman
• Yong Woong Lee, DDS
• Deon J Lemmons, ST
• Anthony Frederick Lent, D.D.S
• Melissa K Lepper, OTR
• Shellina Letson
• Natasha Lettman, IBCLC

• Certified Registered Nurse Anesthetist in Portage, IN
• Providers in Portage, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.