Jake Mansfield, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bethany, Connecticut. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Dogwood Anesthesia Providers Llc and his current practice location is
41 Timber Ln, Bethany, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 494-8084.
Jake Mansfield is licensed to practice in Virginia (license number 0024193863) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740919141.
Provider's Profile
| Full Name | Jake Mansfield |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 1 Years |
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| Location | 41 Timber Ln, Bethany, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jake Mansfield graduated from nursing school in 2025
NPI Data:
- NPI Number: 1740919141
- Provider Enumeration Date: 06/09/2022
- Last Update Date: 10/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911497847
- Enrollment ID: I20251107003184
Medical Identifiers
Medical identifiers for Jake Mansfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740919141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 0024193863 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dogwood Anesthesia Providers Llc | 2769853084 | 149 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jake Mansfield is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jake Mansfield,
41 Timber Ln,
Bethany, CT 06524-3365
Ph: () - | Jake Mansfield,
41 Timber Ln,
Bethany, CT 06524-3365
Ph: (203) 494-8084 |
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