Active NPI
Jaclyn McDonald, CRNA
- Certified Registered Nurse Anesthetist
- Atlantis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9319633
- Practice address
- 5301 S Congress Ave
Atlantis, FL 33462-1197 - Phone
- (561) 965-7300
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- 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 | RN716966 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 514500 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9319633 | FL | Primary |
Addresses
Primary practice location
5301 S Congress Ave
Atlantis, FL 33462-1197
Mailing address
7049 Via Leonardo
Lake Worth, FL 33467-5236
Phone (561) 504-3324
Other practice location 1
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Other | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190206000119 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355689035 | Reassigns benefits to 2 organizations |
| I20190724002177 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355689035 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S Cedar Crest Blvd
LVPG General in Patient Pediatrics
Allentown, PA 18103-6202
Phone (610) 402-6700
2401 Northampton St
Suite 220
Easton, PA 18045-2764
Phone (610) 756-9900
Hospital & facility affiliations
- Lehigh Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 514500 | FL | MD | Certified Registered Nurse Anesthetist |
| APRN9319633 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Grove City Anesthesia & Pain Management, PLLC | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of North America P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nazareth Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lehigh Valley Anesthesia Services, P. C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
2401 Northampton St
Ste 220
Easton, PA 18045
Phone (610) 756-9900
20 Community Dr
Easton, PA 18045
Phone (610) 258-1844
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800
Organizations & group practices 15
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.
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Hospital & facility affiliations 5
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": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1992291595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7049 VIA LEONARDO",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334675236",
"telephone_number": "561-504-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 S CONGRESS AVE",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621197",
"telephone_number": "561-965-7300"
}
],
"practiceLocations": [
{
"address_1": "1200 S Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036202",
"country_code": "US",
"telephone_number": "610-402-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "JACLYN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN716966",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "514500",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9319633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "00",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.