JORGE MANUEL BALLESTEROS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174550925
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
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Provider Addresses for JORGE MANUEL BALLESTEROS (CRNA)
Summerlin Avenue, Delaney Park, Orlando, Orange County, Florida, 32806, United States
ORLANDO, FL 328066902
Phone: (812) 240-0977
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: 2024-03-25
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 |
|---|---|---|---|---|
| I20040827000812 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20090414000295 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20240325002444 | I | Certified Registered Nurse Anesthetist (Crna) | KS | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 21 | 14 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 32806)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | FL | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 40 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Psychiatry, Geriatric Psychiatry | IN | |
| General Surgery | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | OH |
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