KATHLEEN JASPER (ARNP, CRNA) – Certified Registered Nurse Anesthetist, NPI 1154743961

KATHLEEN JASPER (ARNP, CRNA) is a healthcare provider. based in Saint augustine, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials ARNP, CRNA. They hold a License No. ARNP 3405202 (FL). The NPI Number for KATHLEEN JASPER (ARNP, CRNA) is 1154743961

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN JASPER (ARNP, CRNA)
NPI
1154743961
Phone
Not provided
Address
1833 FOREST GLEN WAY
Enumeration Date
14 January 2014
Last Update Date
14 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
3577794064
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20140326001331
Address ID
FL336076307TA3003XBLVD800
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for KATHLEEN JASPER (ARNP, CRNA)

  • 1833 FOREST GLEN WAY

    SAINT AUGUSTINE, FL 32092

    Phone:

    Type: Mailing

  • 2165 HERSCHEL STREET

    JACKSONVILLE, FL 32204

    Phone: (904) 387-4030

    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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140326001331ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20220309001217ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20241202001226ICertified Registered Nurse Anesthetist (Crna)HITBD

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 therapy1917$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 32092)

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Provider's Procedures

KATHLEEN JASPER (ARNP, CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETFL01402Anesthesia for open or endoscopic total knee joint replacement1212

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: 6406753623View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KATHLEEN JASPER (ARNP, CRNA) in U.S. healthcare records?
The official identifier for KATHLEEN JASPER (ARNP, CRNA) is NPI 1154743961.
Is there an active status for KATHLEEN JASPER (ARNP, CRNA)?
For scheduling context, KATHLEEN JASPER (ARNP, CRNA) is shown as active in the registry.
What kind of doctor is KATHLEEN JASPER (ARNP, CRNA)?
KATHLEEN JASPER (ARNP, CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is KATHLEEN JASPER (ARNP, CRNA) associated with Saint Augustine?
Public fields place KATHLEEN JASPER (ARNP, CRNA) around Saint Augustine, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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