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JORGE MANUEL BALLESTEROS CRNA
NPI 1174550925
Nurse Anesthetist, Certified Registered in Orlando, FL

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
3714 S SUMMERLIN AVE, ORLANDO, FL 32806(812) 240-0977 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jorge Manuel Ballesteros Crna NPPES

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

JORGE MANUEL BALLESTEROS CRNA (NPI 1174550925) is an individual nurse anesthetist, certified registered in Orlando, Florida, licensed in New Mexico (R56975) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Cameron Memorial Community Hospital Inc, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1174550925
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJORGE MANUEL BALLESTEROSCredential: CRNA
Location Address3714 S SUMMERLIN AVEOrlando, FL 32806-6902
Mailing Address3714 S Summerlin AveOrlando, FL 32806-6902 · (812) 240-0977
Phone(812) 240-0977
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 26, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1174550925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NM · R56975
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3714 S SUMMERLIN AVE, Orlando, FL 32806
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jorge Manuel Ballesteros Crna 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 ID6305811944
PECOS Enrollment IDI20040827000812, I20090414000295, I20240325002444
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Jorge Ballesteros reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fpra Anesthesia Services LLC
7.5 mi
Nurse Anesthetist, Certified Registered
1693 LEE RD, SUITE A
Winter Park, FL 32789
  • Reassigned Medicare billing, Florida enrollment
  • 63 clinicians in this Medicare group
NPI 1952756728 (407) 287-4300
Florida Anesthesia & Pain Management Associates, LLC
23 mi
Pain
255 CITRUS TOWER BLVD, SUITE #100
Clermont, FL 34711
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1487792792 (352) 536-6340
Anesthesia Dynamics LLC
100 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida enrollment
  • 1,887 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642
Deaconess Hospital, Inc.
741 mi
Clinical Nurse Specialist
4219 GATEWAY BLVD
Newburgh, IN 47630
  • Reassigned Medicare billing, Indiana enrollment
  • 717 clinicians in this Medicare group
NPI 1619755329 (812) 450-7700
Greene County General Hospital
799 mi
Critical Access
1185 N 1000 W
Linton, IN 47441
  • Reassigned Medicare billing, Indiana enrollment
  • 106 clinicians in this Medicare group
NPI 1184695389 (812) 847-2281
Cameron Memorial Community Hospital Inc
928 mi
Rural Health
306 E MAUMEE ST STE 101
Angola, IN 46703
  • Reassigned Medicare billing, Indiana enrollment
  • 133 clinicians in this Medicare group
NPI 1417440264 (260) 667-5670
Southwest Medical Center
1,279 mi
Surgery
305 W 15TH ST
Liberal, KS 67901
  • Reassigned Medicare billing, Kansas enrollment
  • 76 clinicians in this Medicare group
NPI 1144493040 (620) 624-0702

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
20 services20 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151315
Location416 E Maumee StAngola, IN 46703 · Steuben County
Emergency services Birthing friendly

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Southwest Medical Center

Acute Care Hospitals · Liberal, KS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170068
Location315 West 15th StreetLiberal, KS 67901 · Seward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge Ballesteros's NPI number?

The NPI number for Jorge Ballesteros is 1174550925. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Jorge Ballesteros located?

Jorge Ballesteros practices at 3714 S Summerlin Ave, Orlando, FL 32806. The listed phone number is (812) 240-0977.

What is Jorge Ballesteros's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jorge Ballesteros enrolled in Medicare?

Yes. Jorge Ballesteros is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jorge Ballesteros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Ballesteros reassigns Medicare benefits to 7 organizations: Fpra Anesthesia Services LLC (Winter Park, FL), Florida Anesthesia & Pain Management Associates, LLC (Clermont, FL), Anesthesia Dynamics LLC (Bradenton, FL), Deaconess Hospital, Inc. (Newburgh, IN), Greene County General Hospital (Linton, IN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jorge Ballesteros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jorge Ballesteros accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Kansas, Inc. and CareSource list Jorge Ballesteros as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jorge Ballesteros affiliated with any hospitals?

According to CMS data, Jorge Ballesteros is affiliated with Cameron Memorial Community Hospital Inc, Greene County General Hospital and Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Jorge Ballesteros was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.