JEDIDIAH POLETE CRNA
NPI 1336560028
Nurse Anesthetist, Certified Registered in Henderson, NV

Active since December 23, 2013Accepts Medicare Assignment
80.25/100
CMS Quality Rating
129 W LAKE MEAD PKWY, SUITE B18, HENDERSON, NV 89015(702) 564-4440(702) 558-1522 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jedidiah Polete Crna NPPES

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

JEDIDIAH POLETE CRNA (NPI 1336560028) is an individual nurse anesthetist, certified registered in Henderson, Nevada, licensed in Louisiana (AP09081) and active in the NPI registry since December 2013. He is affiliated with Adventhealth Daytona Beach and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336560028
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEDIDIAH POLETECredential: CRNA
Location Address129 W LAKE MEAD PKWY, SUITE B18Henderson, NV 89015-6954
Mailing Address1444 Peterman Dr, Suite B18Alexandria, LA 71301-3432 · (702) 564-4440 · Fax (702) 558-1522
Fax(702) 558-1522
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 23, 2013
Last NPPES UpdateFebruary 9, 2017
✔ NPI 1336560028 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 LA · AP09081
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.
129 W LAKE MEAD PKWY, Henderson, NV 89015

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

Jedidiah Polete 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 ID8123251618
PECOS Enrollment IDI20190715002931

Medicare Billing Reassignments

12

Medicare enrollment records show Jedidiah Polete reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
4600 N DAVIS HWY
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
Anesthesiology
3241 SW 34TH ST
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 77 clinicians in this Medicare group
Anesthesiology
1670 EAGLE HARBOR PKWY
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 876 clinicians in this Medicare group
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida enrollment
  • 1,887 clinicians in this Medicare group
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
Anesthesiology
2861 S DELANEY AVE STE B
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
Anesthesiology
6101 PINE RIDGE RD
Naples, FL 34119
  • Reassigned Medicare billing, Florida enrollment
  • 767 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.

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 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.
18 services18 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89015 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.44
Improvement Activities40
Cost64.53

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.

Nurse Anesthetist, Certified Registered
129 W LAKE MEAD PKWY, SUITE B18
HENDERSON, NV 89015
Nurse Anesthetist, Certified Registered
129 W LAKE MEAD PKWY, B18
HENDERSON, NV 89015
Anesthesiology
129 W LAKE MEAD PKWY, B-18
HENDERSON, NV 89015
Internal Medicine
129 W LAKE MEAD PKWY, SUITE 8
HENDERSON, NV 89015
Nurse Practitioner (Psychiatric/Mental Health)
129 W LAKE MEAD PKWY
HENDERSON, NV 89015
Anesthesiology
129 W LAKE MEAD PKWY, #B-18
HENDERSON, NV 89015
Nurse Anesthetist, Certified Registered
129 W LAKE MEAD PKWY, SUITE B-19
HENDERSON, NV 89015
Physical Therapist
129 W LAKE MEAD PKWY, SUITE #2
HENDERSON, NV 89015

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 Jedidiah Polete's NPI number?

The NPI number for Jedidiah Polete is 1336560028. It was assigned to this individual provider in the NPPES registry on December 23, 2013.

Where is Jedidiah Polete located?

Jedidiah Polete practices at 129 W Lake Mead Pkwy Suite B18, Henderson, NV 89015. The listed phone number is (702) 564-4440.

What is Jedidiah Polete's specialty?

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

Is Jedidiah Polete enrolled in Medicare?

Yes. Jedidiah Polete 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 Jedidiah Polete's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jedidiah Polete reassigns Medicare benefits to 12 organizations: Sheridan Healthcorp Inc (Pensacola, FL), Florida Clinical Practice Association Inc (Gainesville, FL), Apollo Medical Group Of Ocala LLC (Ocala, FL), Fleming Island Anesthesia LLC (Orange Park, FL), Sunshine State Anesthesia Partners LLC (Bradenton, FL) and 7 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 Jedidiah Polete's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jedidiah Polete accept?

Health plans from HMO Louisiana list Jedidiah Polete 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 Jedidiah Polete affiliated with any hospitals?

According to CMS data, Jedidiah Polete is affiliated with Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Jedidiah Polete was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.