Active NPI
Jaime Marshall, CRNA, APRN
- Certified Registered Nurse Anesthetist
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11010647
- Practice address
- 1843 Sommarie Way
Tarpon Springs, FL 34689-6206 - Phone
- (843) 812-7641
- NPI assigned
- Oct 14, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 11010647 | FL | Primary |
Addresses
Primary practice location
1843 Sommarie Way
Tarpon Springs, FL 34689-6206
Mailing address
1843 Sommarie Way
Tarpon Springs, FL 34689-6206
Phone (843) 812-7641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210217001973 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5799190104 | Reassigns benefits to 2 organizations |
| I20250523001297 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5799190104 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Pinellas Anesthesia Associates, PANorthwood Anesthesia Associates LLCCHS Anesthesia Services Group Inc
Practice addresses (Care Compare)
1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (954) 939-5000
4500 E Fletcher Ave
Tampa, FL 33613-4910
Phone (954) 939-5000
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000
Hospital & facility affiliations
- Carolinas Medical Center-Northeast
- Adventhealth North Pinellas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7849 | NC | MD | Professional Counselor |
| 11010647 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Pinellas Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800
4500 E Fletcher Ave
Tampa, FL 33613
Phone (813) 870-0401
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779
1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054
Organizations & group practices 5
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
- Tampa, FL
- NPI 1104879816
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Venice, FL
- NPI 1811569197
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Trinity, FL
- NPI 1780256073
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Clearwater, FL
- NPI 1871165159
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
Hospital
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1730787441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 SOMMARIE WAY",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346896206",
"telephone_number": "843-812-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1843 SOMMARIE WAY",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346896206",
"telephone_number": "843-812-7641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JAIME",
"credential": "CRNA, APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11010647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.