Active NPI
Jeremiah S Mossman, APRN CRNA
- Certified Registered Nurse Anesthetist
- Estero, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9383766
- Practice address
- 21586 Belvedere LN
Estero, FL 33928 - Phone
- (478) 973-0824
- NPI assigned
- Jun 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9383766 | FL | Primary |
Addresses
Primary practice location
21586 Belvedere LN
Estero, FL 33928
Mailing address
21586 Belvedere LN
Estero, FL 33928-7329
Phone (478) 973-0824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
63 Barkley Cir
Suite 103
Fort Myers, FL 33907-4514
Phone (239) 275-8882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9383766 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SWF Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia & Pain Consultants of SW FL | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Florida Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Outpatient Anesthesia of Southwest Florida Inc | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882
63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452
12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300
63 Barkley Cir
Fort Myers, FL 33907
Phone (941) 936-5400
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000
4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8380 Riverwalk Park Blvd
Ste 220
Fort Myers, FL 33919
Phone (239) 215-4104
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Specialist
- Fort Myers, FL
- NPI 1609843275
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1588236954
Nurse Anesthetist, Certified Registered
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1962926568
Nurse Anesthetist, Certified Registered
-
- Specialist
- Fort Myers, FL
- NPI 1518244383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1578055588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21586 BELVEDERE LN",
"city": "ESTERO",
"state": "FL",
"postal_code": "339287329",
"telephone_number": "478-973-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21586 BELVEDERE LN",
"city": "ESTERO",
"state": "FL",
"postal_code": "33928",
"telephone_number": "478-973-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSSMAN",
"first_name": "JEREMIAH",
"middle_name": "S",
"credential": "APRN CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9383766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.