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Active NPI 1184900177 Individual Practitioner Male Practitioner

Roosevelt Bennett , AA-C

Anesthesiologist Assistant • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Roosevelt Bennett, AA-C is a registered healthcare professional specializing in Anesthesiologist Assistant in Jacksonville, FL. Practice services are available at 807 CHILDRENS WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

807 Childrens Way
Nemours Childrens Specialty Care, Jacksonville

Jacksonville, FL 322078426

Telephone 9046973600
Fax 9046973927
Associated Practice Facility / Clinic
🏢 The Nemours Foundation Facility NPI 1265585806

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
107 Specialists

Practicing in Jacksonville, FL (970 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License FL AA100

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
004228800 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacqueline Noe

Physician Assistant

NPI 1013000488
Kelly Summers , ARNP

Nurse Practitioner

NPI 1023531043

Advanced Registered Nurse Practitioner

Caitlin Thomas , APRN

Nurse Practitioner - Pediatrics

NPI 1023820255

Advanced Practice Registered Nurse

Dr. Robert Sprecher , MD

Otolaryngology - Pediatric Otolaryngology

NPI 1033139480

Doctor of Medicine (M.D.)

Whitney Law , PA

Physician Assistant

NPI 1053664870

Physician Assistant

Dr. Stacy White , MD

Radiology - Pediatric Radiology

NPI 1053750323

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2017

Registered at 807 CHILDRENS WAY, NEMOURS CHILDRENS SPECIALTY CARE, JACKSONVILLE, JACKSONVILLE, FL 322078426 (Tel: 9046973600)

📍
Updated Business Mailing Address January 09, 2017

Registered at PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 197320191 (Tel: 9046974201)

👤
Provider Name / Credentials Updated January 09, 2017

Recorded as ROOSEVELT BENNETT, AA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2017

Anesthesiologist Assistant (License #AA100 in FL)

🟢
Initial NPI Registration & Enumeration October 23, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184900177
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2011
Last Update: January 09, 2017
Sole Proprietor: No

Mailing Address

Po Box 191, Provider Enrollment Department

Rockland, DE 197320191

Phone: 9046974201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.