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

Jed Leifson

Individual provider Registered Nurse · NPI 1396383881

Jed Leifson is a Certified Registered Nurse Anesthetist (CRNA) in Portage, Indiana. Qualified in 2019, 7 years ago. Practices with Greater Ocala Anesthesia Associates LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3630 Willowcreek Rd
Portage, IN 46368-5075
Phone: (219) 364-3000
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 130221 (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28255655A (IN)

Record details

NPI number1396383881
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2019
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address28 N Palafox St, Pensacola, FL 32502-5626

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Greater Ocala Anesthesia Associates Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Portage