Justin A Otis, DNP, APRN-CRNA
Certified Registered Nurse Anesthetist (Crna) (CMS) · Jacksonville, FL
At a glance
11723 Wells Creek Pkwy Apt 1217, Jacksonville, FL 32256-1981
NPPES record updated Jan 25, 2024. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
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Check the official Medicare directory ↗Practice location
11723 Wells Creek Pkwy Apt 1217Jacksonville, FL 32256-1981
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2023
- CMS specialties
- Certified Registered Nurse Anesthetist (Crna)
Practice groups
- Apollo Medical Group Of Jeffersonville Llc
- Community Medical Associates Inc
- Greater Louisville Anesthesia Services, Pllc
Reported hospital affiliations
- Baptist Health Lagrange La Grange, KY
- Norton-King's Daughters' Health Madison, IN
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $24.60 |
Reporting companies
| Company | Amount |
|---|---|
| PACIRA PHARMACEUTICALS INCORPORATED | $24.60 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Certified Registered Nurse Anesthetist (Crna) (CMS)
- Taxonomy code
- 367500000X
- Enumeration date
- Jul 31, 2023
- Record updated
- Jan 25, 2024
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DNP, APRN-CRNA
Reported taxonomies and licenses
163W00000X
License reported: RN9356204 FL
367500000X · Primary
License reported: 4012118 KY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11723 Wells Creek Pkwy Apt 1217Jacksonville, FL 32256-1981
- Phone
- (904) 240-2841
Mailing address
2115 JUDGE CARDEN BLVDCRESTWOOD, KY 400147805
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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