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MR. ERIC JAMES SEYBOLT CRNA
NPI 1295894384
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Active since December 06, 2006Accepts Medicare Assignment
4800 BELFORT ROAD, JACKSONVILLE, FL 32256(904) 265-4801(904) 265-4811 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Eric James Seybolt Crna NPPES

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

MR. ERIC JAMES SEYBOLT CRNA (NPI 1295894384) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (ARNP9171004) and active in the NPI registry since December 2006. He is a graduate of Georgetown University School Of Medicine (2007).

NPPES Registry Identity

NPI1295894384
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ERIC JAMES SEYBOLTCredential: CRNA
Location Address4800 BELFORT ROADJacksonville, FL 32256
Mailing Address4800 Belfort RoadJacksonville, FL 32256 · (904) 483-5850 · Fax (904) 483-5860
Phone(904) 265-4801
Fax(904) 265-4811
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2007
Enumeration DateDecember 6, 2006
Last NPPES UpdateMay 25, 2011
✔ NPI 1295894384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · ARNP9171004
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9171004 (FL)
4800 BELFORT ROAD, Jacksonville, FL 32256
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Other Identifiers 2

Medicare PINAI800YFL
Medicaid293037400FL

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

Mr. Eric James Seybolt 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 ID2466530456
PECOS Enrollment IDI20080416000203

Areas of Expertise CMS Part B claims 6

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
597 services515 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
65 services62 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
28 services28 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
16 services16 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.
15 services15 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,819 patients5/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%579 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
7%644 patients1/55-star benchmark: 95%
Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%1,820 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%164 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DEBRA ANN FORTE CRNA
Nurse Anesthetist, Certified Registered
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 483-5850
MRS. DONNA DORMAN SMITH CRNA
Nurse Anesthetist, Certified Registered
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 265-4801
MS. MICHELE DENISE ALFORD CRNA
Nurse Anesthetist, Certified Registered
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 265-4801
DR. DANIEL GERARD KOHM MD
Internal Medicine (Gastroenterology)
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 398-7205
DR. VIKRAM DEVEGOWDA GOPAL MD
Internal Medicine (Gastroenterology)
4800 BELFORT ROAD, 2ND FLOOR
JACKSONVILLE, FL 32256
Duval County (904) 398-7205
RUSSELL SCOTT AVERA CRNA
Nurse Anesthetist, Certified Registered
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 265-4801
LINDA ANN DITEODORO MD
Internal Medicine (Gastroenterology)
4800 BELFORT ROAD, 2ND FLOOR
JACKSONVILLE, FL 32256
Duval County (904) 398-7205

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 Eric Seybolt's NPI number?

The NPI number for Eric Seybolt is 1295894384. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Eric Seybolt located?

Eric Seybolt practices at 4800 Belfort Road, Jacksonville, FL 32256. The listed phone number is (904) 265-4801.

What is Eric Seybolt's specialty?

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

Is Eric Seybolt enrolled in Medicare?

Yes. Eric Seybolt 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.

When was this NPI record last updated?

The NPPES record for Eric Seybolt was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.