Individual provider Active NPI

Jefterson Dorgilus, DNP

  • Certified Registered Nurse Anesthetist
  • Delray Beach, FL
National Provider Identifier
1548074511
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1191819 Issued in TX
Practice address
241 NW 4TH Ave
Delray Beach, FL 33444-2715
Phone
(561) 768-1842
NPI assigned
Feb 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 152459 FL
Certified Registered Nurse Anesthetist 367500000X 1191819 TX Primary
Certified Registered Nurse Anesthetist 367500000X 152459 AZ

Addresses

Primary practice location

241 NW 4TH Ave
Delray Beach, FL 33444-2715

Mailing address

241 NW 4TH Ave
Delray Beach, FL 33444-2715
Phone (561) 768-1842

Other practice location 1

1500 S Mill Ave
Tempe, AZ 85281-6699
Phone (480) 784-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250311002062 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759802366 Reassigns benefits to 1 organization
I20250513001591 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759802366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Anesthesia NetworkGroup PAC ID 3274521281, 99 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
152459AZMDCertified Registered Nurse Anesthetist
152459FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Ias Arizona PLLC CurrentSince May 1, 2025 Accepting new patients
Hendrick Anesthesia Network CurrentSince Feb 27, 2025 Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

Organizations & group practices 3

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 1

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": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1548074511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 NW 4TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442715",
            "telephone_number": "561-768-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NW 4TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442715",
            "telephone_number": "561-768-1842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Mill Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852816699",
            "country_code": "US",
            "telephone_number": "480-784-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORGILUS",
        "first_name": "JEFTERSON",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "152459",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1191819",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "152459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.