Jed Leifson
Jed Leifson is a Certified Registered Nurse Anesthetist in Portage, IN, registered under NPI 1396383881. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 3630 WILLOWCREEK RD, Portage, IN 46368. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 28255655A | IN | Registered Nurse |
| 130221 | IN | Certified Registered Nurse Anesthetist primary |
This provider holds licence 28255655A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Certified Registered Nurse Anesthetist (crna)
- PAC ID
- 0941639280
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Indiana | I20200407002880 | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Florida | I20250407002056 | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Hawaii | I20260312003143 | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Registered Nurse Anesthetist (crna). There are 3 separate enrolment records across 3 states (IN, FL, HI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nurse Anesthetist, Certified Registered covers
(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. NUCC Health Care Provider Taxonomy, code 367500000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 28255655A | IN | |
| 367500000X | Certified Registered Nurse Anesthetist | 130221 | IN | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1396383881 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 15, 2019 |
| Last updated | Feb 5, 2020 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Practice address |
3630 WILLOWCREEK RD Portage, IN 46368 (219) 364-3000 |
| Mailing address |
28 N PALAFOX ST Pensacola, FL 32502 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 9 | 6 | 3 | 8 | 3 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 9 | 6 | 6 | 8 | 6 | 8 | 7 |
Sum = 79 · next multiple of 10 = 80 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.