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Crystal River Hma Physician Management LLC

Surgery Physician in Homosassa, FL · enumerated 2021 · authorized official Jennifer Jackson, Sr Dir Onboarding & Prov Enrollment.

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

National Provider Identifier

1942960786

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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 3475 S Suncoast Blvd, Homosassa, FL, 34448
Fax (352) 765-2017
Enumeration date Dec 21, 2021
Last updated in NPPES Mar 14, 2022

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Jackson
Title Sr Dir Onboarding & Prov Enrollment

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

What is the NPI number for Crystal River Hma Physician Management LLC?
The NPI for Crystal River Hma Physician Management LLC is 1942960786, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Crystal River Hma Physician Management LLC?
NPPES lists Jennifer Jackson (Sr Dir Onboarding & Prov Enrollment) as the authorized official for this organization.

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