Individual provider Active NPI

Jackie Lee Cates Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Trinity, FL
National Provider Identifier
1528117876
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9178585 Issued in FL
Practice address
2154 Duck Slough Blvd
Trinity, FL 34655-5073
Phone
(727) 937-6020
Fax
(866) 665-2702
NPI assigned
Jan 9, 2007
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 643079 TX
Certified Registered Nurse Anesthetist 367500000X APRN9178585 FL Primary

Addresses

Primary practice location

2154 Duck Slough Blvd
Trinity, FL 34655-5073

Mailing address

2154 Duck Slough Blvd
Trinity, FL 34655-5073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080123000691 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032210646 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Florida LLCGroup PAC ID 8921522376, 43 clinicians
North Pinellas Anesthesia Associates, PAGroup PAC ID 5496915597, 22 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

12900 Cortez Blvd
Suite 103
Brooksville, FL 34613-6897
Phone (352) 596-1145

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (954) 939-5000

2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9178585FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E Wein, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2026 Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 5, 2011 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 4, 2024 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 28, 2021 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2012 Accepting new patients
Northstar Anesthesia of Florida LLC CurrentSince Mar 7, 2025 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Jun 21, 2022 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2012 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Jun 21, 2022 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
American Anesthesiology of Naples, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

2140 W 68th St
Hialeah, FL 33016
Phone (305) 332-2065

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

1601 38th Ave N
St Petersburg, FL 33713
Phone (727) 822-4287

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779

1350 E Venice Ave
Venice, FL 34285
Phone (941) 484-2030

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

400 10th St E
Waconia, MN 55387

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1528117876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 DUCK SLOUGH BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555073",
            "fax_number": "866-665-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 DUCK SLOUGH BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555073",
            "telephone_number": "727-937-6020",
            "fax_number": "866-665-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "JACKIE",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "643079",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9178585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.