Individual provider Active NPI

Jesse Michael Adams, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1710128426
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
004016 Issued in CT
Practice address
11250 Old Saint Augustine Rd Ste 15
PMB 266
Jacksonville, FL 32257-1147
Phone
(813) 426-4614
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 004016 CT Primary

Addresses

Primary practice location

11250 Old Saint Augustine Rd Ste 15
PMB 266
Jacksonville, FL 32257-1147

Mailing address

11250 Old Saint Augustine Rd Ste 15
PMB 266
Jacksonville, FL 32257-1147
Phone (813) 426-4614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403003128 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274682778 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1505 SW Cary Pkwy
Suite 100
Cary, NC 27511-6219
Phone (919) 651-3880

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004016CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jan 6, 2025 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2019 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Duke University Health System, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2025 Accepting new patients
Raleigh Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Digestive Health Specialists, P.C. PastSince Mar 16, 2015 Accepting new patients
Integrated Gastroenterology Consultants, PC Past Accepting new patients
Anesthesiologists of Middletown, P.C. PastSince Jul 27, 2020 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1505 SW Cary Pkwy
Ste 100
Cary, NC 27511
Phone (919) 415-1360

1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Networks

  • Freedom Health HMO Network

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1710128426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 OLD SAINT AUGUSTINE RD STE 15",
            "address_2": "PMB 266",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571147",
            "telephone_number": "813-426-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 OLD SAINT AUGUSTINE RD STE 15",
            "address_2": "PMB 266",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571147",
            "telephone_number": "813-426-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JESSE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "004016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.