JARED Y ROBERTSON III CRNA
NPI 1265428734
Nurse Anesthetist, Certified Registered in Bay St Louis, MS

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
149 DRINKWATER RD, BAY ST LOUIS, MS 39520(228) 467-8600 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jared Y Robertson Iii Crna NPPES

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

JARED Y ROBERTSON III CRNA (NPI 1265428734) is an individual nurse anesthetist, certified registered in Bay St Louis, Mississippi, licensed in Mississippi (901491) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Scenic Mountain Medical Center, A Steward Family H, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1265428734
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJARED Y ROBERTSON IIICredential: CRNA
Location Address149 DRINKWATER RDBay St Louis, MS 39520-1658
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 21, 2005
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1265428734 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
Licenses✔ Licensed in MS · 901491✔ Licensed in TN · 10597✔ Licensed in LA · 5201✔ Licensed in KY · 4858A✔ Licensed in VA · 24167318✔ Licensed in SC · 3625✔ Licensed in NC · 71550✔ Licensed in TX · 144482
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.
149 DRINKWATER RD, Bay St Louis, MS 39520

Other Identifiers 8

Medicaid010103894VA
Other4081487Blue Shield Of Tn
Medicaid74008541KY
OtherTN0100John Deere
Medicaid100045319TN
Medicaid3632282TN
Other00013859Nhc Care Administrators
Other146158Anthem Bcbs

Accepted 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

Jared Y Robertson Iii 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 ID2860467354
PECOS Enrollment IDI20080306000110, I20241204000548
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

5

Medicare enrollment records show Jared Robertson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
149 DRINKWATER RD
Bay Saint Louis, MS 39520
  • Reassigned Medicare billing, Mississippi enrollment
  • 326 clinicians in this Medicare group
Internal Medicine
2375 GAUSE BLVD E
Slidell, LA 70461
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
Ambulatory Surgical
1266 ESCALANTE, SUITE 101
Durango, CO 81303
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Animas Surgical Hospital LLC
  • 69 clinicians in this Medicare group
Anesthesiology
1311 N MILDRED RD
Cortez, CO 81321
  • Reassigned Medicare billing, Colorado enrollment
  • 23 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Scenic Mountain Medical Center, A Steward Family H

Acute Care Hospitals · Big Spring, TX
OwnershipProprietary
CMS Certification Number450653
Location1601 W 11th PlaceBig Spring, TX 79720 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39520 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

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.

Anesthesiology
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Internal Medicine
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Nurse Practitioner (Neonatal, Critical Care)
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Emergency Medicine
149 DRINKWATER RD
BAY SAINT LOUIS, MS 39520
Family Medicine
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Podiatrist (Primary Podiatric Medicine)
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Nurse Anesthetist, Certified Registered
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Emergency Medicine
149 DRINKWATER RD
BAY ST LOUIS, MS 39520

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 Jared Robertson's NPI number?

The NPI number for Jared Robertson is 1265428734. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Jared Robertson located?

Jared Robertson practices at 149 Drinkwater Rd, Bay St Louis, MS 39520. The listed phone number is (228) 467-8600.

What is Jared Robertson's specialty?

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

Is Jared Robertson enrolled in Medicare?

Yes. Jared Robertson 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 Jared Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Robertson reassigns Medicare benefits to 5 organizations: Ochsner Mississippi, LLC (Bay Saint Louis, MS), Ochsner Clinic LLC (Slidell, LA), Emergenchealth PLLC (Fort Worth, TX), Durango Surgery Center LLC (Durango, CO) and Novus Colorado Professional Corporation (Cortez, CO). 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 Jared Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Robertson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jared Robertson 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 Jared Robertson affiliated with any hospitals?

According to CMS data, Jared Robertson is affiliated with Scenic Mountain Medical Center, A Steward Family H.

When was this NPI record last updated?

The NPPES record for Jared Robertson was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.