Jacob Tyler Balken
NPI 1679272298ActiveIndividual· Nurse Anesthetist, Certified Registered· Miami Shores, FL
Nurse Anesthetist, Certified Registered with Sheridan Healthcorp Inc, practicing in Miami Shores, Florida. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Adventhealth Ocala as a hospital affiliation.
Overview
| NPI | 1679272298 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 2, 2023 |
| Last updated in NPPES | Aug 15, 2025 |
| Certified by provider | Aug 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | APRN11039828 | FL |
| Registered Nurse | 163W00000X | 9486538 | FL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (FL) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Sheridan Healthcorp IncOkeechobee, FL · 949 clinicians
Hospital affiliation
- Adventhealth OcalaOcala, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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