JEFFREY RYAN CARROLL (A.A. - C) – Anesthesiologist Assistant, NPI 1730468778

JEFFREY RYAN CARROLL (A.A. - C) is a healthcare provider. based in New port richey, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials A.A. - C. The NPI Number for JEFFREY RYAN CARROLL (A.A. - C) is 1730468778

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY RYAN CARROLL (A.A. - C)
NPI
1730468778
Phone
(727) 845-1736
Address
5424 GRAND BLVD
Enumeration Date
9 August 2011
Last Update Date
9 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122067660
Graduation Year
2011 (15 years ago)
PAC ID
4082889779
Group Practice PAC ID
2264412444
Professional Enrollment ID
I20240815003142
Address ID
IN471502228NE4023XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for JEFFREY RYAN CARROLL (A.A. - C)

  • 5424 GRAND BLVD

    NEW PORT RICHEY, FL 346524008

    Phone: (727) 845-1736

    Fax: (727) 849-0759

    Type: Location

  • 30923 BRIDGEGATE DR

    WESLEY CHAPEL, FL 335458214

    Phone: (614) 271-5814

    Type: Mailing

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: 2024-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111207000790IAnesthesiology AssistantFLTBD
I20240815003142IAnesthesiology AssistantINTBD

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 34652)

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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: 2264412444View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-IN
A N E S T H E S I O L O G YIN
-OH
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)IN
-IN
-OH
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Can I verify JEFFREY RYAN CARROLL (A.A. - C) with an NPI only?
You can start verification with NPI 1730468778 for JEFFREY RYAN CARROLL (A.A. - C), then check state licensing separately.
Can I rely on JEFFREY RYAN CARROLL (A.A. - C) being an active provider?
As of the registry snapshot, JEFFREY RYAN CARROLL (A.A. - C) is marked active.
What taxonomy line describes JEFFREY RYAN CARROLL (A.A. - C)?
For research purposes, treat JEFFREY RYAN CARROLL (A.A. - C) as Anesthesiologist Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JEFFREY RYAN CARROLL (A.A. - C) on a map?
Expect New Port Richey, Florida as a primary anchor for JEFFREY RYAN CARROLL (A.A. - C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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