Jessica Ray Matkin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP 9168845 Issued in FL

Practice address

701 6TH St S
St Petersburg, FL 33701-4814

Phone

(727) 823-2188

Fax

(727) 828-0723

NPI assigned

Jun 20, 2007

Last updated

Aug 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Jessica Ray Perez Matkin Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127
  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North Pinellas Anesthesia Associates, PA

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1104879816

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North Tampa Anesthesia Consultants

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1144216433
  Medicare reassignment NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1942519657
  Medicare reassignment
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Safety Harbor, FL
  • NPI 1528630795
  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Wesley Chapel, FL
  • NPI 1659943827

  Nurse Anesthetist, Certified Registered

  NPD
• Gulf Coast Professional Anesthesia Associates LLC

  • Anesthesiology Physician
  • Largo, FL
  • NPI 1831517440
  NPD
• Bayfront Anesthestia Services PA

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1942249271
  NPD (past)
• Zephyrhills Anesthesiology Associates LLC

  • Interventional Pain Medicine Physician
  • Lakeland, FL
  • NPI 1467334557
  NPD (past)
• Zephyrhills Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Zephyrhills, FL
  • NPI 1902064546

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• West Florida - MHT LLC

  dba HCA Florida South Tampa Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1871935072
  Care Compare affiliation

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1447455290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22005",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337422005",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATKIN",
        "first_name": "JESSICA",
        "middle_name": "RAY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9168845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "G4357",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308608900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GTBA",
            "identifier": "59-3411711",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BAYFRONT ANESTHESIA SERVICES PA",
            "identifier": "593072468",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MATKIN",
            "middle_name": "RAY PEREZ",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica S. Mathews, ARNP
• Karen Taylor Mathews
• Nicole Mathews, DO
• Kristin Mathre, LMFT
• Nicole Lorraine Matias-Bado, CRNA
• Albert Matos, MD
• Maria Matos
• Emily Matson
• Naoe Matsumoto, PTA
• Elias N Matta, M.D.

• Certified Registered Nurse Anesthetist in St Petersburg, FL
• Providers in St Petersburg, 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 Aug 30, 2011; 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.