Active NPI
Jill Christine Wenzel, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
National Provider Identifier
1770545915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP2774692
- Practice address
- 655 W 8TH St
Ufjp Anesthesiology
Jacksonville, FL 32209-6511 - Phone
- (904) 244-4195
- Fax
- (904) 244-4908
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | ARNP2774692 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St
Ufjp Anesthesiology
Jacksonville, FL 32209-6511
Mailing address
PO Box 44008
Ufjp Provider Enrollment
Jacksonville, FL 32231-4008
Phone (904) 244-3199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3067378-00 | Medicaid | FL | |
| 720686430A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2774692 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| North Florida Anesthesia Consultants, Inc. | Current | Accepting new patients | |
| Jacksonville Anesthesia Corporation Inc | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
Organizations & group practices 6
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
- Jacksonville, FL
- NPI 1346236866
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Anesthesiology Physician
- St Augustine, FL
- NPI 1114892361
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1699935965
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1033163738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1770545915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "UFJP PROVIDER ENROLLMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-3199",
"fax_number": "904-244-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"address_2": "UFJP ANESTHESIOLOGY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-244-4195",
"fax_number": "904-244-4908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENZEL",
"first_name": "JILL",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP2774692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3067378-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "720686430A",
"state": "GA"
}
],
"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 May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.