Jared B Petersmith, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP 9335875 Issued in FL

Practice address

1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571

Phone

(813) 844-4396

Fax

(813) 844-4972

NPI assigned

May 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians

Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: jpetersmith55421@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127
  Medicare reassignment Care Compare group NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1720039746
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012
  Medicare reassignment
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1942519657
  Medicare reassignment
• Office Anesthesia Staffing

  • Certified Registered Nurse Anesthetist
  • Saint Petersburg, FL
  • NPI 1972232023
  Care Compare group
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Safety Harbor, FL
  • NPI 1528630795
  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1760054019
  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Saint Petersburg, FL
  • NPI 1760054944

  Nurse Anesthetist, Certified Registered

  NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Sun City Center, FL
  • NPI 1073841656
  NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Largo, FL
  • NPI 1316205339
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galencare, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1205880945
  Care Compare affiliation
• Largo Medical Center, Inc.

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1770842858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108700",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "address_2": "SUITE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSMITH",
        "first_name": "JARED",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9335875",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Peters
• Theodore Edward David Peters, DDS
• Victoria Peters
• Leah Gail Petersen, PA-C
• Victoria Petersen
• Alexis Peterson
• Barbara Bell Peterson, LCSW
• Erica Elizabeth Elseed Peterson, M.D.
• Ethan James Dean Peterson, M.D.
• Jeffery J Peterson, PH.D.

• Certified Registered Nurse Anesthetist in Tampa, FL
• Providers in Tampa, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.