Active NPI
Jonathan Lincoln, CRNA
- Certified Registered Nurse Anesthetist
- Deland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9281039
- Practice address
- 701 W Plymouth Ave
Deland, FL 32720-3236 - Phone
- (407) 667-0444
- Fax
- (407) 667-4338
- NPI assigned
- Jun 8, 2015
- Last updated
- Jun 8, 2015
- Sex
- Male
- 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 | ARNP9281039 | FL | Primary |
Addresses
Primary practice location
701 W Plymouth Ave
Deland, FL 32720-3236
Mailing address
291 Southhall LN
Maitland, FL 32751-7274
Phone (407) 667-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL | |
| PENDING | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Pinnacle Anesthesia Services LLC | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Pinnacle Anesthesia Services Aspen Mountain LLC | Past | Accepting new patients |
Locations
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221
300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403
2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064
Organizations & group practices 9
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.
-
dba Campbell County Medical Group - Internal Medicine Clinic
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
dba Wagon Circle Family Medical Clinic
- Family Medicine Physician
- Rawlins, WY
- NPI 1508900341
-
- Specialist
- Rock Springs, WY
- NPI 1588092274
-
dba Campbell County Medical Group-Anesthesiology
- Anesthesiology Physician
- Gillette, WY
- NPI 1417461914
-
dba Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
dba Campbell County Health
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
- Home Health Agency
- Rawlins, WY
- NPI 1295896496
-
- Critical Access Hospital
- Rawlins, WY
- NPI 1710298757
-
- Anesthesiology Physician
- Rock Springs, WY
- NPI 1821452509
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gillette, WY
- NPI 1487638417
-
dba Powder River Surgery Center
- Ambulatory Surgical Clinic/Center
- Gillette, WY
- NPI 1780738153
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1912387622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 SOUTHHALL LN",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517274",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W PLYMOUTH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327203236",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCOLN",
"first_name": "JONATHAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9281039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.