Individual provider Active NPI

Jessenia M Reyes

  • Certified Registered Nurse Anesthetist
  • Kissimmee, FL
National Provider Identifier
1629775689
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11026809 Issued in FL
Practice address
3227 Amberley Park Cir
Kissimmee, FL 34743-6057
Phone
(407) 520-7578
NPI assigned
Feb 10, 2023
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 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 EL32916 NH
Certified Registered Nurse Anesthetist 367500000X APRN11026809 FL Primary
Registered Nurse 163W00000X 9478859 FL

Addresses

Primary practice location

3227 Amberley Park Cir
Kissimmee, FL 34743-6057

Mailing address

3227 Amberley Park Cir
Kissimmee, FL 34743-6057
Phone (407) 520-7578

Other practice location 1

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230622003116 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436517489 Reassigns benefits to 2 organizations
I20250814001446 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436517489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

83 W Miller St
Orlando, FL 32806-2031
Phone (954) 939-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9478859FLMDRegistered Nurse
APRN11026809FLMDCertified Registered Nurse Anesthetist
EL32916NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Single Specialty Current Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Anesthesiologists of Greater Orlando Inc Single Specialty Current Accepting new patients
US Anesthesia Partners of Florida Inc. Single Specialty CurrentSince Jun 20, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic Single Specialty CurrentSince Aug 7, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital Single Specialty CurrentSince Aug 7, 2025 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients

Locations

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

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

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

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

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

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1629775689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 AMBERLEY PARK CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436057",
            "telephone_number": "407-520-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 AMBERLEY PARK CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436057",
            "telephone_number": "407-520-7578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "fax_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "JESSENIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "EL32916",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11026809",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9478859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.