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

Individual provider Certified Registered Nurse Anesthetist · NPI 1336560028

Jedidiah Polete, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Henderson, Nevada. Qualified in 2013, 13 years ago. Practices with Anesthesia Dynamics LLC, a 880-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
13
Licensed in
LA
In the registry since
2013
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

129 W Lake Mead Pkwy Ste B18
Henderson, NV 89015-6954
Phone: (702) 564-4440
Fax: (702) 558-1522
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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 AP09081 (LA)

Record details

NPI number1336560028
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 23, 2013
Last updated in NPPESFebruary 9, 2017
Mailing address1444 Peterman Dr, Suite B18, Alexandria, LA 71301-3432

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Anesthesia Dynamics Llc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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