Individual provider Active NPI

Jacqueline May Pollet, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1487949541
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9250669 Issued in FL
Practice address
12511 World Plaza LN BLDG 50
Fort Myers, FL 33907-3991
Phone
(239) 939-2622
Fax
(239) 939-0151
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9250669 FL Primary

Addresses

Primary practice location

12511 World Plaza LN BLDG 50
Fort Myers, FL 33907-3991

Mailing address

12511 World Plaza LN BLDG 50
Fort Myers, FL 33907-3991
Phone (239) 939-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110811000831 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507035383 Reassigns benefits to 5 organizations
I20230601002870 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507035383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology Services of Florida IncGroup PAC ID 1850674540, 159 clinicians
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-1000

2222 N Nevada Ave
Penrose Hospital
Colorado Springs, CO 80907-6819
Phone (303) 438-3999

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

Hospital & facility affiliations

  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9250669FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Oct 22, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
North Naples Anesthesia, LLC CurrentSince Aug 19, 2022 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Nchmd Inc CurrentSince Oct 22, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 1, 2022 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince May 18, 2023 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2020 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
Anesthesia & Pain Consultants of SW FL CurrentSince Jul 15, 2011 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 1, 2022 Accepting new patients
Parrish Anesthesia Specialist, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300

1005 Crosspointe Dr
Ste 1
Naples, FL 34110

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1005 Crosspointe Dr
Ste 2
Naples, FL 34110
Phone (239) 566-5748

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1487949541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 WORLD PLAZA LN BLDG 50",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073991",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 WORLD PLAZA LN BLDG 50",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073991",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLET",
        "first_name": "JACQUELINE",
        "middle_name": "MAY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9250669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.