JACKSONVILLE ANESTHESIA LLC – Certified Registered Nurse Anesthetist, NPI 1205165065

JACKSONVILLE ANESTHESIA LLC is a healthcare provider. based in Sedalia, Missouri. specializing in Certified Registered Nurse Anesthetist. The NPI Number for JACKSONVILLE ANESTHESIA LLC is 1205165065

Main info

Organization
Name
JACKSONVILLE ANESTHESIA LLC
NPI
1205165065
Phone
(660) 826-5960
Address
PO BOX 1547
Authorized Official
ROB CLEMENS CEO MD PHD
Enumeration Date
8 December 2009
Last Update Date
8 December 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:16State licenses:0Digital endpointsOther names

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Provider Addresses for JACKSONVILLE ANESTHESIA LLC

  • Sedalia Post Office, 4195, West Douglas Avenue, Sedalia, Sedaila, Douglas County, Colorado, 80105, United States

    SEDALIA, MO 653021547

    Phone: (660) 826-5960

    Fax: (660) 826-4852

    Type: Mailing

  • Jadksonville State University, 1701, Pelham Road South, Jacksonville, Calhoun County, Alabama, 36265, United States

    JACKSONVILLE, AL 362653369

    Phone: (256) 435-4970

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 65302)

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Reviews

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Frequently asked questions

Is JACKSONVILLE ANESTHESIA LLC listed with a National Provider Identifier?
Yes — JACKSONVILLE ANESTHESIA LLC has NPI 1205165065 on file in the registry.
Is JACKSONVILLE ANESTHESIA LLC still an active registrant?
JACKSONVILLE ANESTHESIA LLC carries an active NPI according to the public dataset.
What clinical focus is listed for JACKSONVILLE ANESTHESIA LLC?
At a glance, JACKSONVILLE ANESTHESIA LLC is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JACKSONVILLE ANESTHESIA LLC located near Sedalia?
JACKSONVILLE ANESTHESIA LLC currently maps to Sedalia, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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