JESSICA SUE MENDELSOHN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1861615676

JESSICA SUE MENDELSOHN (CRNA) is a healthcare provider. based in Tamarac, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 26NJ00187000 (NJ). The NPI Number for JESSICA SUE MENDELSOHN (CRNA) is 1861615676

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA SUE MENDELSOHN (CRNA)
NPI
1861615676
Phone
(973) 886-5072
Address
7142 NW 103RD AVE
Enumeration Date
10 April 2007
Last Update Date
7 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9108156100
Graduation Year
1999 (27 years ago)
PAC ID
0446226252
Group Practice PAC ID
6103722509
Professional Enrollment ID
I20220204000392
Address ID
NC284017369WI1305XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:19State licenses:4Digital endpointsOther names

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

Provider Addresses for JESSICA SUE MENDELSOHN (CRNA)

  • 7142 NW 103RD AVE

    TAMARAC, FL 333212274

    Phone: (973) 886-5072

    Fax: (954) 933-3949

    Type: Mailing

  • 2720 Sunset Blvd

    West Columbia, SC 291694810

    Phone: (803) 791-2000

    Type: Location

  • 530 S Jackson St

    Louisville, KY 402021675

    Phone: (502) 852-5851

    Type: Location

  • 7142 NW 103rd Ave

    Tamarac, FL 333212274

    Phone: (973) 886-5072

    Fax: (954) 933-3949

    Type: Location

  • 7900 N KINGS HWY

    MYRTLE BEACH, SC 295723055

    Phone: (843) 449-3381

    Fax: (843) 449-9721

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Boston Scientific Corporation ($35).

Total Amount

$66

General + Research + Ownership

Payments

4

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2023-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20111214000636ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20210604001453ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20220204000392ICertified Registered Nurse Anesthetist (Crna)NCTBD
I20221004000572ICertified Registered Nurse Anesthetist (Crna)KYTBD
I20230103002104ICertified Registered Nurse Anesthetist (Crna)SCTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3737$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
00812Anesthesia for exam of colon using an endoscope1515$0
00142Anesthesia for lens surgery1313$0
View full utilization report →

Insurance plans in this area (ZIP 33321)

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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: 6103722509View full group profile
NameSpecialtyState
-NC
Cardiovascular Disease (Cardiology)NC
Plastic And Reconstructive SurgeryNC
Internal Medicine, HospitalistNC
Physician AssistantNC
-NC
Nurse PractitionerNC
-NC
Nurse PractitionerNC
Family PracticeMD

Reviews

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Frequently asked questions

How do payers reference JESSICA SUE MENDELSOHN (CRNA)?
For JESSICA SUE MENDELSOHN (CRNA), use NPI 1861615676 as the unique 10-digit identifier.
Is JESSICA SUE MENDELSOHN (CRNA) shown as active in public data?
Registry records indicate JESSICA SUE MENDELSOHN (CRNA) maintains an active NPI.
What expertise is attributed to JESSICA SUE MENDELSOHN (CRNA)?
JESSICA SUE MENDELSOHN (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JESSICA SUE MENDELSOHN (CRNA)?
Travel planning: use Tamarac, Florida as the reference point for JESSICA SUE MENDELSOHN (CRNA), then confirm.
Can I trust this NPI listing for JESSICA SUE MENDELSOHN (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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