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

Jared Garth Michaelis

Individual provider Critical Care Medicine Registered Nurse · NPI 1558930180

Jared Garth Michaelis is a Certified Registered Nurse Anesthetist (CRNA) in Orlando, Florida. Qualified in 2022, 4 years ago. Practices with Joint Township District Memorial Hospital, a 39-clinician group and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
4
Licensed in
FL, OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

601 E Rollins St
Orlando, FL 32803-1248
Phone: (701) 739-8167
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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 RN.507085 (OH)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN9518937 (FL)

Record details

NPI number1558930180
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2021
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address2951 Irish Peach Dr, Winter Garden, FL 34787-5675

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 Joint Township District Memorial Hospital — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Orlando