JEFFREY KEITH BURNEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1609120948

JEFFREY KEITH BURNEY (CRNA) is a healthcare provider. based in Fleming island, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 728009 (TX). The NPI Number for JEFFREY KEITH BURNEY (CRNA) is 1609120948

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY KEITH BURNEY (CRNA)
NPI
1609120948
Phone
(904) 934-4017
Address
1563 WATERS EDGE DR
Enumeration Date
8 November 2012
Last Update Date
24 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9512904000
Graduation Year
2012 (14 years ago)
PAC ID
5193037257
Group Practice PAC ID
4385027770
Professional Enrollment ID
I20160401001967
Address ID
CA925631401MU28062RDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for JEFFREY KEITH BURNEY (CRNA)

  • 1563 WATERS EDGE DR

    FLEMING ISLAND, FL 320038691

    Phone: (904) 934-4017

    Type: Mailing

  • 2349 BLOM ST

    SAN DIEGO, CA 921093733

    Phone: (858) 568-2926

    Type: Location

  • PO BOX 555191

    CAMP PENDLETON, CA 920555191

    Phone: (760) 685-1296

    Type: Mailing

  • 200 MERCY CIRCLE

    CAMP PENDLETON

    OCEANSIDE, CA 92055

    Phone: (760) 685-1296

    Type: Location

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: 2016-04-01

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
I20160401001967ICertified Registered Nurse Anesthetist (Crna)CATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32003)

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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: 4385027770View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)AZ

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Frequently asked questions

Does JEFFREY KEITH BURNEY (CRNA) have a public NPI I can cite?
Public records show JEFFREY KEITH BURNEY (CRNA) under NPI 1609120948.
Should I treat JEFFREY KEITH BURNEY (CRNA) as an active provider?
Patients and plans typically see JEFFREY KEITH BURNEY (CRNA) as active in the national extract.
Which specialty label fits JEFFREY KEITH BURNEY (CRNA)?
NPPES ties JEFFREY KEITH BURNEY (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JEFFREY KEITH BURNEY (CRNA) tied to Fleming Island, Florida?
If you are local to Fleming Island, Florida, JEFFREY KEITH BURNEY (CRNA) may be relevant to your search.
Can I export JEFFREY KEITH BURNEY (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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