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

Jacob Tyler Balken

Individual provider Registered Nurse · NPI 1679272298

Jacob Tyler Balken is a Certified Registered Nurse Anesthetist (CRNA) in Miami Shores, Florida. Qualified in 2025, 1 year ago. Practices with Sheridan Healthcorp Inc, a 959-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2023
Specialties on file
3

Practice location Address checks out

11300 NE 2nd Ave
Miami Shores, FL 33161-6628
Phone: (305) 899-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11039828 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9486538 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679272298
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 2, 2023
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address6181 Se 11th St, Ocala, FL 34472-7862

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sheridan Healthcorp Inc — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Miami Shores