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

Jay Stephen Leblanc, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1316609902

Jay Stephen Leblanc, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Plymouth, Minnesota. Qualified in 2021, 5 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Minnesota and Utah.

Years since qualifying
5
Licensed in
MN, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876
Phone: (765) 559-3779
Fax: (763) 450-3986
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 12812621-4406 (UT)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2663 (MN)

Record details

NPI number1316609902
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing addressPo Box 47159, Plymouth, MN 55447-0159

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth