JACK A. JR. MANDEL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033449178

JACK A. JR. MANDEL (CRNA) is a healthcare provider. based in Pensacola, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9299697 (FL). The NPI Number for JACK A. JR. MANDEL (CRNA) is 1033449178

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JACK A. JR. MANDEL (CRNA)
NPI
1033449178
Phone
(850) 477-7042
Address
4901 GRANDE DR
Enumeration Date
13 January 2010
Last Update Date
3 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502024700
Graduation Year
2009 (17 years ago)
PAC ID
3577608900
Group Practice PAC ID
8325298458
Professional Enrollment ID
I20100309000811
Address ID
FL325048721PE5151XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for JACK A. JR. MANDEL (CRNA)

  • 4901, Grande Drive, Cordova Square, Pensacola, Escambia County, Florida, 32504, United States

    PENSACOLA, FL 325045935

    Phone: (850) 477-7042

    Fax: (850) 474-9060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100309000811ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01922Anesthesia for x-ray or radiation therapy3534$0
01926Anesthesia for x-ray on artery of brain, heart, or chest2020$0
00530Anesthesia for insertion of permanent heart pacemaker1717$0
View full utilization report →

Insurance plans in this area (ZIP 32504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325298458View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is JACK A. JR. MANDEL (CRNA) listed with a National Provider Identifier?
Yes — JACK A. JR. MANDEL (CRNA) has NPI 1033449178 on file in the registry.
Active or inactive — what applies to JACK A. JR. MANDEL (CRNA)?
You should see JACK A. JR. MANDEL (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is JACK A. JR. MANDEL (CRNA)?
JACK A. JR. MANDEL (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACK A. JR. MANDEL (CRNA)?
Travel planning: use Pensacola, Florida as the reference point for JACK A. JR. MANDEL (CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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