JESSE TYLER CROSNO PA
NPI 1285222315
Physician Assistant in Plantation, FL

Q: What is Jesse Crosno's NPI number?

The NPI number for Jesse Crosno is 1285222315. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Q: What is Jesse Crosno's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Crosno was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since January 05, 2021PECOS EnrolledAccepts Medicare Assignment

220 SW 84TH AVE STE 102, PLANTATION, FL 33324(954) 720-1530(954) 620-5751 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, Jan 5, 2021 (2 updates tracked since 2021).

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About Jesse Tyler Crosno Pa NPPES

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

JESSE TYLER CROSNO PA (NPI 1285222315) is an individual physician assistant in Plantation, Florida, licensed in Florida (PA9116412) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with University Hospital And Medical Center, and maintains a secondary practice location in Weston.

NPPES Registry Identity

NPI1285222315

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJESSE TYLER CROSNOCredential: PA

Location Address220 SW 84TH AVE STE 102Plantation, FL 33324-2729

Mailing Address220 Sw 84th Ave Ste 102Plantation, FL 33324-2729 · (954) 349-2345 · Fax (954) 349-7784

Phone(954) 720-1530

Fax(954) 620-5751

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 5, 2021

Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1285222315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9116412

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9116412 (FL)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9116412 (FL)

220 SW 84TH AVE STE 102, Plantation, FL 33324

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Secondary Practice Location 1

Location 11600 Town Center Blvd Ste CWeston, FL 33326-3641 · Phone (954) 389-5900 · Fax (954) 389-5751

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Jesse Tyler Crosno Pa 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 ID2567821739

PECOS Enrollment IDI20230706001069

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.

Hospital Affiliations CMS Care Compare

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

University Hospital And Medical Center

Acute Care Hospitals · Tamarac, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100224

Location7201 N University DrTamarac, FL 33321 · Broward County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33324 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 7

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

REBECCA ISABEL URRUTIA PA-C

Physician Assistant