JASON FERNANDES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093282279
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JASON FERNANDES (CRNA)
1000 36th St
Vero Beach, FL 329604862
Phone: (772) 567-4311
Type: Location
Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States
ORLANDO, FL 328031273
Phone: (407) 303-5600
Type: Location
86, Providence Lane, Palm Coast, Flagler County, Florida, 32164, United States
PALM COAST, FL 321644758
Phone: (386) 503-8825
Type: Mailing
1000 36TH ST
VERO BEACH, FL 329604862
Phone: (772) 567-4311
Type: Location
2215 BURDETT AVE
TROY, NY 121802475
Phone: (518) 525-8600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-04-28 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $20 |
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: 2023-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190213000772 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20210318001541 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20230901002074 | I | Certified Registered Nurse Anesthetist (Crna) | NY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32960)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | NJ | |
| - | FL | |
| - | FL | |
| R H E U M A T O L O G Y | OH | |
| Family Practice | WI | |
| Orthopedic Surgery | FL | |
| Infectious Disease | FL | |
| Family Practice | FL | |
| Internal Medicine | CA | |
| Physician Assistant | FL |
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