JASON POLETTI
NPI 1821584376
Nurse Anesthetist, Certified Registered in Memphis, TN

Active since July 09, 2018Accepts Medicare Assignment
6019 WALNUT GROVE RD, MEMPHIS, TN 38120(901) 226-5000 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2018, Jul 9, 2018 (2 updates tracked since 2018).

About Jason Poletti NPPES

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

JASON POLETTI (NPI 1821584376) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (174286) and active in the NPI registry since July 2018. He is affiliated with Mymichigan Medical Center Midland, maintains a secondary practice location in Huron, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821584376
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJASON POLETTI
Location Address6019 WALNUT GROVE RDMemphis, TN 38120
Mailing Address184 Flying Quail RdHuron, TN 38345-9713
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 9, 2018
Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration
NPI 1821584376 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 TN · 174286
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.

6019 WALNUT GROVE RD, Memphis, TN 38120

Secondary Practice Location 1

Location 1184 Flying Quail RdHuron, TN 38345-9713 · Phone (731) 307-0214

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

Jason Poletti 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 ID4981949625
PECOS Enrollment IDI20190225002495

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 fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 00918
This procedure involves using anesthesia to ensure comfort while a special instrument called an endoscope helps to locate, break up, and possibly remove kidney stones. The endoscope is a thin, flexible tube which is gently inserted and navigated to the area of concern.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Nurse Practitioner
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Emergency Medicine
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Internal Medicine (Infectious Disease)
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Internal Medicine
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Emergency Medicine
6019 WALNUT GROVE RD, BAPTIST MEMPHIS MEMORIAL HOSPITAL
MEMPHIS, TN 38120
Emergency Medicine
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Internal Medicine
6019 WALNUT GROVE RD
MEMPHIS, TN 38120

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 Jason Poletti's NPI number?

The NPI number for Jason Poletti is 1821584376. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Jason Poletti located?

Jason Poletti practices at 6019 Walnut Grove Rd, Memphis, TN 38120. The listed phone number is (901) 226-5000.

What is Jason Poletti's specialty?

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

Is Jason Poletti enrolled in Medicare?

Yes. Jason Poletti 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.

Is Jason Poletti affiliated with any hospitals?

According to CMS data, Jason Poletti is affiliated with Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Jason Poletti was last updated on August 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.