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

Jared Y Robertson III, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1265428734

Jared Y Robertson III, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bay St Louis, Mississippi. Qualified in 2004, 22 years ago. Practices with Novus Colorado Professional Corporation, a 12-clinician group and accepts Medicare assignment. Licensed in Kentucky, Louisiana, Mississippi and North Carolina and 4 more.

Years since qualifying
22
Licensed in
KY, LA, MS, NC, SC, TN
In the registry since
2005
Specialties on file
8
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

149 Drinkwater Rd
Bay St Louis, MS 39520-1658
Phone: (228) 467-8600
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 901491 (MS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 10597 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 5201 (LA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4858A (KY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 24167318 (VA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3625 (SC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 71550 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 144482 (TX)

Record details

NPI number1265428734
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 21, 2005
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Novus Colorado Professional Corporation — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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