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

Individual provider Certified Registered Nurse Anesthetist · NPI 1558958371

Jack Patton, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Scranton, Pennsylvania. Qualified in 2020, 6 years ago. Practices with 360 Anesthesia PLLC, a 113-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
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

746 Jefferson Ave
Scranton, PA 18510-1624
Phone: (570) 770-3000
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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 RN641951 (PA)

Record details

NPI number1558958371
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 28, 2020
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020
Mailing address2000 E Lamar Blvd Ste 430, Arlington, TX 76006-7338

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 360 Anesthesia Pllc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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