Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin A Otis, DNP, APRN-CRNA

Individual provider Registered Nurse · NPI 1245911262

Dr. Justin A Otis, DNP, APRN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with Greater Louisville Anesthesia Services, PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
3
Licensed in
FL, KY
In the registry since
2023
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

11723 Wells Creek Pkwy Apt 1217
Jacksonville, FL 32256-1981
Phone: (904) 240-2841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4012118 (KY)
Registered Nurse Taxonomy 163W00000X · Licence RN9356204 (FL)

Record details

NPI number1245911262
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , APRN-CRNA
Sole proprietorYes
NPI enumeratedJuly 31, 2023
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Greater Louisville Anesthesia Services, Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jacksonville