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Crystal River Hma Physician Management LLC

Surgery Physician in Crystal River, FL · enumerated 2021 · authorized official Jennifer Jackson, Sr Dr. Prov Enrollment & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164188447

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Registry record

Entity type Organization (Type 2)
Legal business name Crystal River Hma Physician Management LLC
Other name <Unavail>
Practice address 1669 Se Hwy 19, Crystal River, FL, 34429
Phone (352) 563-2407
Fax (877) 892-9815
Enumeration date Nov 11, 2021
Last updated in NPPES Mar 14, 2022

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Jackson
Title Sr Dr. Prov Enrollment & Onboarding
Phone (615) 465-3334

Other identifiers

Identifier Type State Issuer
PENDING Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Crystal River Hma Physician Management LLC?
NPPES lists Jennifer Jackson (Sr Dr. Prov Enrollment & Onboarding) as the authorized official for this organization.
What is the NPI number for Crystal River Hma Physician Management LLC?
The NPI for Crystal River Hma Physician Management LLC is 1164188447, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-14.