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JONATHAN KISTEMAKER AA
NPI 1538634274
Anesthesiologist Assistant in Jacksonville, FL

Active since October 09, 2018Accepts Medicare Assignment
80.25/100
CMS Quality Rating
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-2000 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2020, Oct 9, 2018 (2 updates tracked since 2018).

About Jonathan Kistemaker Aa NPPES

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

JONATHAN KISTEMAKER AA (NPI 1538634274) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA489) and active in the NPI registry since October 2018. He is affiliated with Baptist Health Medical Center - Jacksonville and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538634274
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJONATHAN KISTEMAKERCredential: AA
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address851 Trafalgar Ct Ste 200eMaitland, FL 32751-7420 · (407) 667-0444 · Fax (407) 667-4338
Phone(904) 202-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 9, 2018
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1538634274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in FL · AA489
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

800 PRUDENTIAL DR, Jacksonville, FL 32207
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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

Jonathan Kistemaker Aa 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 ID1759625502
PECOS Enrollment IDI20181205000140

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
23 services23 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

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.

DR. IAN S CACCAM M.D.
Emergency Medicine
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
FLORIDA ANESTHESIA ASSOCIATES P A
Anesthesiology
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 398-3356
DR. JOHN DANIEL GRIGAS MD
Internal Medicine (Pulmonary Disease)
800 PRUDENTIAL DR, 4TH FLOOR MAIN NORTH
JACKSONVILLE, FL 32207
Duval County (904) 202-2963
DAVID J EISEN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR, BAPTIST MEDICAL CENTER-DOWNTOWN
JACKSONVILLE, FL 32207
Duval County (904) 202-1347
MICHAEL A JOHNSON MD
Emergency Medicine
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 396-4369
DR. JAVED IQBAL AKHTAR M.D.
Pediatrics (Pediatric Critical Care Medicine)
800 PRUDENTIAL DR, UFJP PEDIATRIC CRITICAL CARE
JACKSONVILLE, FL 32207
Duval County (904) 202-8758
MS. MARTHA ELIZABETH BROWN ARNP
Nurse Practitioner (Pediatrics)
800 PRUDENTIAL DR, UFJP PEDIATRIC CRITICAL CARE MEDICINE
JACKSONVILLE, FL 32207
Duval County (904) 202-8758
DR. MICHAEL OLIVER GAYLE M.D.
Pediatrics (Pediatric Critical Care Medicine)
800 PRUDENTIAL DR, UFJP PEDIATRIC CRITICAL CARE MEDICINE
JACKSONVILLE, FL 32207
Duval County (904) 202-8758

Frequently Asked Questions

What is Jonathan Kistemaker's NPI number?

The NPI number assigned to this healthcare provider is 1538634274, enumerated as an "individual" on October 09, 2018.

Where is the provider located?

The provider is located at 800 PRUDENTIAL DR JACKSONVILLE, FL 32207 and the phone number is (904) 202-2000.

What is the provider's specialty?

Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jonathan Kistemaker affiliated with any hospitals?

Jonathan Kistemaker is affiliated with: BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE and BAPTIST MEDICAL CENTER BEACHES.