Active NPI
Jesse Michael Adams, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 004016
- 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, 2009
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004016 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Raleigh Sedation Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Digestive Health Specialists, P.C. | Past | Accepting new patients | |
| Integrated Gastroenterology Consultants, PC | Past | Accepting new patients | |
| Anesthesiologists of Middletown, P.C. | Past | 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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Nurse Anesthetist, Certified Registered
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Raleigh, NC
- NPI 1639698533
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1598625626
-
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
- NPI 1962399865
-
dba Carolina Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
Nurse Anesthetist, Certified Registered
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Anesthesiology Physician
- Middletown, CT
- NPI 1851317135
-
- Gastroenterology Physician
- Chelmsford, MA
- NPI 1265764104
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.