Individual provider Active NPI

Jason C Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Marianna, FL
National Provider Identifier
1821043886
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3248852 Issued in FL
Practice address
3024 4TH St
Marianna, FL 32446-2125
Phone
(850) 482-7200
NPI assigned
May 24, 2006
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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 3248852 FL Primary

Addresses

Primary practice location

3024 4TH St
Marianna, FL 32446-2125

Mailing address

3024 4TH St
Marianna, FL 32446-2125
Phone (850) 482-7200

Other identifiers 1

IdentifierTypeStateIssuer
G2946OtherFLBCBS FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000384 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870495039 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Anesthesia Associates IncGroup PAC ID 0749273282, 16 clinicians

Practice addresses (Care Compare)

2500 MLK Jr Blvd
Panama City, FL 32405-4412
Phone (850) 784-3937

3024 4TH St
Marianna, FL 32446-2125
Phone (850) 482-7200

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 482-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3248852FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Anesthesia Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2001 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2019 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 26, 2024 Accepting new patients
Digestive Diseases Center of Florida, PLLC Current Accepting new patients
BMR Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients

Locations (25 of 26)

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

180 E Redstone Ave
Crestview, FL 32539

182 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 266-7500

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

3024 4th St
Marianna, FL 32446
Phone (850) 258-3148

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1600 Jenks Ave
Ste 1
Panama City, FL 32405
Phone (855) 524-7246

1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191

204 E 19th St
Panama City, FL 32405
Phone (850) 763-5409

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

767 Airport Rd
Panama City, FL 32405
Phone (850) 747-0400

1502 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 437-3777

1502 Creighton Rd
Ste C
Pensacola, FL 32504
Phone (850) 437-3777

1549 Airport Blvd
Ste 420
Pensacola, FL 32504
Phone (850) 484-8800

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

511 Hewitt St
Pensacola, FL 32503
Phone (850) 912-6505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1821043886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 4TH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462125",
            "telephone_number": "850-482-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 4TH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462125",
            "telephone_number": "850-482-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASON",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3248852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "G2946",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.