Individual provider Active NPI

Jessica M. Dorsey, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1821258856
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9203956 Issued in FL
Practice address
13535 Nemours Pkwy
Orlando, FL 32827-7402
Phone
(407) 567-4000
Fax
(407) 567-5924
NPI assigned
Jun 12, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 ARNP9203956 FL Primary

Addresses

Primary practice location

13535 Nemours Pkwy
Orlando, FL 32827-7402

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4127

Other practice location 1

400 N Mills Ave
Orlando, FL 32803-5722
Phone (407) 581-9180

Other practice location 2

400 N Mills Ave
Orlando, FL 32803-5722
Phone (407) 581-9180

Other identifiers 3

IdentifierTypeStateIssuer
0000905 00MedicaidFL
XXXXX9472OtherCHAMPUS / TRICARE
G4555OtherFLBCBS

Other names 1

  • Jessica M. Perez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000193 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698840106 Reassigns benefits to 9 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2019 Accepting new patients
The Nemours Foundation CurrentSince Oct 18, 2017 Accepting new patients
Filutowski Eye Institute PA CurrentSince Aug 19, 2019 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2023 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Oct 18, 2017 Accepting new patients
Sarasota Anesthesia Services LLC CurrentSince Jul 1, 2022 Accepting new patients
David W Nussear MD LLC CurrentSince Apr 1, 2020 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Filutowski Eye Institute PA CurrentSince Aug 19, 2019 Accepting new patients
Space Coast Anesthesia Services LLC CurrentSince Apr 8, 2021 Accepting new patients
Orange City Anesthesia Services LLC CurrentSince Mar 13, 2019 Accepting new patients
Wolverine Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

110 Yorktowne Dr
Daytona Beach, FL 32119
Phone (386) 788-6696

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

715 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 910-3071

1070 Greenwood Blvd
Lake Mary, FL 32746
Phone (407) 333-1537

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

835 Currency Cir
Lake Mary, FL 32746
Phone (407) 544-6643

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

595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

2863 Wellness Ave
Orange City, FL 32763
Phone (286) 297-7239

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

2295 S Hiawassee Rd
Ste 101
Orlando, FL 32835
Phone (407) 902-2533

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

1545 Hand Ave
Ste A2
Ormond Beach, FL 32174
Phone (386) 457-7114

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821258856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560532",
            "telephone_number": "904-697-4127",
            "fax_number": "904-697-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13535 NEMOURS PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277402",
            "telephone_number": "407-567-4000",
            "fax_number": "407-567-5924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328035722",
            "country_code": "US",
            "telephone_number": "407-581-9180",
            "fax_number": "407-926-9173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328035722",
            "country_code": "US",
            "telephone_number": "407-581-9180",
            "fax_number": "407-926-9173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "JESSICA",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9203956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000905 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS / TRICARE",
            "identifier": "XXXXX9472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G4555",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PEREZ",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.