Individual provider Active NPI

Jamie Leigh Eldenburg, CRNA

  • Certified Registered Nurse Anesthetist
  • Kettering, OH
National Provider Identifier
1477890812
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.14215 Issued in OH
Practice address
3535 Southern Blvd
Kettering, OH 45429-1221
Phone
(937) 293-8228
Fax
(937) 293-8229
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN. 256328 OH
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.14215 OH Primary
Certified Registered Nurse Anesthetist 367500000X APRN11041139 FL

Addresses

Primary practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Mailing address

PO Box 932759
Cleveland, OH 44193-0015
Phone (937) 293-8228

Other names 1

  • Jamie Leigh Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130306000549 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355596800 Reassigns benefits to 6 organizations
I20251120000729 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355596800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians
Kettering Anesthesia Associates, IncGroup PAC ID 0648170365, 54 clinicians
Sandusky Anesthesia LLCGroup PAC ID 3274895271, 117 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

1285 Creekside Blvd E
Naples, FL 34109-0590
Phone (239) 529-1800

2210 Arbor Blvd
Suite 1a
Moraine, OH 45439-1512
Phone (615) 397-9187

2400 Miami Valley Dr
Dayton, OH 45459-4774
Phone (937) 438-2400

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 298-4331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11041139FLMDCertified Registered Nurse Anesthetist
APRN.CRNA.14215OHMDCertified Registered Nurse Anesthetist
RN. 256328OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Ohio Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Arlington Anesthesia Partners LLC CurrentSince Apr 12, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Sandusky Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2022 Accepting new patients
PHS Anesthesia Billing, LLC CurrentSince Aug 1, 2025 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Aug 9, 2025 Accepting new patients

Locations

1285 Creekside Blvd E
Naples, FL 34109
Phone (239) 260-6631

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

4200 Indian Ripple Rd
Dayton, OH 45440
Phone (937) 320-5050

75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1477890812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932759",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930015",
            "telephone_number": "937-293-8228",
            "fax_number": "937-293-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-293-8228",
            "fax_number": "937-293-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDENBURG",
        "first_name": "JAMIE",
        "middle_name": "LEIGH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN. 256328",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.14215",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11041139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "HALL",
            "middle_name": "LEIGH",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.