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

Dr. Lee Thomas Hagenbaumer, CRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548860711

Dr. Lee Thomas Hagenbaumer, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with University of Florida Jacksonville Physicians, Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 702-6111
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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 11010755 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548860711
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Florida Jacksonville Physicians, Inc. — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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