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 04, 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, and ordering and referring status from the CMS PECOS system.

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

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.

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.