Active NPI
Jonathon Peter Portincasa, CRNA
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 331814
- Practice address
- 120 Quail Run
Pinehurst, NC 28374-9096 - Phone
- (231) 736-6541
- NPI assigned
- Jan 7, 2020
- Last updated
- Jul 10, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 006290 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024186941 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 331814 | WI | Primary |
Addresses
Primary practice location
120 Quail Run
Pinehurst, NC 28374-9096
Mailing address
120 Quail Run
Pinehurst, NC 28374-9096
Other practice location 1
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-1000
Other practice location 2
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of South Florida College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 Allen St
Troy, NC 27371-2802
Phone (910) 572-1301
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 993-3100
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006290 | NC | MD | Certified Registered Nurse Anesthetist |
| 0024186941 | VA | MD | Certified Registered Nurse Anesthetist |
| 331814 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firsthealth of the Carolinas, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
520 Allen St
Troy, NC 27371
Phone (910) 571-5000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
dba Montgomery Memorial Hospital Professional Services
- Certified Registered Nurse Anesthetist
- Troy, NC
- NPI 1053482596
Nurse Anesthetist, Certified Registered
-
dba Oncology Services
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
dba Cape Fear Valley Anesthesia
- Certified Registered Nurse Anesthetist
- Fayetteville, NC
- NPI 1790784999
Nurse Anesthetist, Certified Registered
-
dba Cape Fear Valley Professional Radiology Group
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
-
dba FirstHealth Weight Management Clinic
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
-
dba Atrium Health University City
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
-
dba Atrium Health Union
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1952941031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 QUAIL RUN",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 QUAIL RUN",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749096",
"telephone_number": "231-736-6541"
}
],
"practiceLocations": [
{
"address_1": "155 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Pinehurst",
"state": "NC",
"postal_code": "283748710",
"country_code": "US",
"telephone_number": "910-715-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-853-0222",
"fax_number": "540-981-7855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTINCASA",
"first_name": "JONATHON",
"middle_name": "PETER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-07",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "006290",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024186941",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "331814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.