JAMEY MEDDERS CAA
NPI 1003636606
Anesthesiologist Assistant in Jacksonville, FL

Q: What is Jamey Medders's NPI number?

The NPI number for Jamey Medders is 1003636606. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Q: What is Jamey Medders's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jamey Medders was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 16, 2024Accepts Medicare Assignment

800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-2000 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jamey Medders Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMEY MEDDERS CAA (NPI 1003636606) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA1035) and active in the NPI registry since October 2024. She is affiliated with Baptist Health Medical Center - Jacksonville and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003636606

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameJAMEY MEDDERSCredential: CAA

Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8211

Mailing Address4007 Fleming RdAlbany, GA 31705-6412 · (229) 206-2985

Phone(904) 202-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 16, 2024

Last NPPES UpdateJanuary 6, 2025

NPPES CertifiedJanuary 6, 2025

✔ NPI 1003636606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA1035

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

800 PRUDENTIAL DR, Jacksonville, FL 32207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamey Medders Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547798209

PECOS Enrollment IDI20250108002049

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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