JED LEIFSON
NPI 1396383881
Nurse Anesthetist, Certified Registered in Portage, IN

Active since December 15, 2019Accepts Medicare Assignment
3630 WILLOWCREEK RD, PORTAGE, IN 46368(219) 364-3000 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2020, Dec 15, 2019 (2 updates tracked since 2019).

About Jed Leifson NPPES

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

JED LEIFSON (NPI 1396383881) is an individual nurse anesthetist, certified registered in Portage, Indiana, licensed in Indiana (130221) and active in the NPI registry since December 2019. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1396383881
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJED LEIFSON
Location Address3630 WILLOWCREEK RDPortage, IN 46368-5075
Mailing Address28 N Palafox StPensacola, FL 32502-5626 · (941) 360-1566
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 15, 2019
Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration
✔ NPI 1396383881 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 IN · 130221
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 28255655A (IN)
3630 WILLOWCREEK RD, Portage, IN 46368

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

Jed Leifson 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 ID941639280
PECOS Enrollment IDI20200407002880, I20250407002056, I20260312003143

Medicare Billing Reassignments

11

Medicare enrollment records show Jed Leifson reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
85 E US HIGHWAY 6
Valparaiso, IN 46383
  • Reassigned Medicare billing, Indiana enrollment
  • 55 clinicians in this Medicare group
Anesthesiology
900 I ST
La Porte, IN 46350
  • Reassigned Medicare billing, Indiana enrollment
  • 141 clinicians in this Medicare group
Pain Medicine
204 LEGACY PLZ W
La Porte, IN 46350
  • Reassigned Medicare billing, Indiana enrollment
  • 39 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
53830 GENERATIONS DR
South Bend, IN 46635
  • Reassigned Medicare billing, Indiana enrollment
  • 27 clinicians in this Medicare group
Anesthesiology
6225 N STATE HIGHWAY 161, SUITE 200
Irving, TX 75038
  • Reassigned Medicare billing, Indiana enrollment
  • 83 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
6412 W GULF TO LAKE HWY
Crystal River, FL 34429
  • Reassigned Medicare billing, Florida enrollment
  • 29 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
17355 SE 109TH TERRACE RD
Summerfield, FL 34491
  • Reassigned Medicare billing, Florida enrollment
  • 19 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4901 VINELAND RD STE 150
Orlando, FL 32811
  • Reassigned Medicare billing, Florida enrollment
  • 19 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
100 N DEAN RD STE 102
Orlando, FL 32825
  • Reassigned Medicare billing, Florida enrollment
  • 29 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida and Indiana enrollments
  • 1,887 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 injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
23 services22 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46368 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Emergency Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Rehabilitation Unit
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Surgery
3630 WILLOWCREEK RD, SUITE 3
PORTAGE, IN 46368
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Speech-Language Pathologist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Hospitalist
3630 WILLOWCREEK RD
PORTAGE, IN 46368

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 Jed Leifson's NPI number?

The NPI number for Jed Leifson is 1396383881. It was assigned to this individual provider in the NPPES registry on December 15, 2019.

Where is Jed Leifson located?

Jed Leifson practices at 3630 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 364-3000.

What is Jed Leifson's specialty?

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

Is Jed Leifson enrolled in Medicare?

Yes. Jed Leifson 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 Jed Leifson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jed Leifson reassigns Medicare benefits to 11 organizations: Porter County Anesthesia Associates PC (Valparaiso, IN), Jebs Anesthesia Consultants, LLC (La Porte, IN), Centers For Pain Control, Inc (La Porte, IN), Northern Indiana Anesthesia Associates, LLC (South Bend, IN), Northstar Anesthesia Of Indiana II, LLC (Irving, TX) and 6 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 Jed Leifson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jed Leifson accept?

Health plans from CareSource list Jed Leifson 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.

When was this NPI record last updated?

The NPPES record for Jed Leifson was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.