Active NPI
Paul Henry Jankowski, RN
- Certified Registered Nurse Anesthetist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11019911
- Practice address
- 1415 Sligh Blvd
Orlando, FL 32806-3954 - Phone
- (305) 899-3379
- NPI assigned
- Mar 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 9531292 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 11019911 | FL | Primary |
Addresses
Primary practice location
1415 Sligh Blvd
Orlando, FL 32806-3954
Mailing address
2544 Mayer St
Orlando, FL 32806-4811
Phone (321) 652-5292
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
83 W Miller St
Orlando, FL 32806-2031
Phone (954) 939-5000
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (954) 939-5000
Hospital & facility affiliations
- Orlando Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9531292 | FL | MD | Critical Care Medicine Registered Nurse |
| 11019911 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
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.
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1457300998
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1922677921
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lake Mary, FL
- NPI 1992524706
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1679101273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2544 MAYER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064811",
"telephone_number": "321-652-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 SLIGH BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328063954",
"telephone_number": "305-899-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKOWSKI",
"first_name": "PAUL",
"middle_name": "HENRY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "9531292",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11019911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.