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

Jacob Wainwright

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053037523

Jacob Wainwright is a Certified Registered Nurse Anesthetist (CRNA) in Tallahassee, Florida. Qualified in 2022, 4 years ago. Practices with Anesthesiology Associates of Tallahassee Inc, a 132-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone: (850) 431-1155
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 11023622 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053037523
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 17, 2022
Last updated in NPPESApril 8, 2023
Certification dateApril 8, 2023
Mailing address7097 Shady Grove Way, Tallahassee, FL 32312-8083

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Anesthesiology Associates Of Tallahassee Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tallahassee