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Ethan Ilagan

Anesthesiologist Assistant β€’ Jacksonville, FL

Active NPI 1396626420 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4201 Belfort Rd
Jacksonville, FL 322161431

Call 9042963700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4201 Belfort Rd

Jacksonville, FL 322161431

Telephone 9042963700
Organization at the Same NPPES Address or Phone
Belfort Emergency Physicians Facility NPI 1912195108

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: North Florida Anesthesia Consultants Inc; The San Antonio Orthopaedic Group Llp. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ethan Ilagan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Jacksonville and Florida

106 active clinicians are listed under Anesthesiologist Assistant with a practice address in Jacksonville, FL (969 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 106 clinicians have the CMS telehealth indicator.

84% of these 106 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-20
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

License # reported to NPPES FL AA1172

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
128909300 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY ASSISTANT

Medicare Enrollment ID

I20260128003890

Enrollment State Jurisdiction

TX

PECOS Control ID

4183114192

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The San Antonio Orthopaedic Group Llp

400 Concord Plaza Dr, San Antonio, TX 782166991

Phone: 2108045400

North Florida Anesthesia Consultants Inc

1 Shircliff Way, Jacksonville, FL 322044748

Phone: 9549395000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Michael Maxwell , MD

Emergency Medicine

NPI 1205823267

Doctor of Medicine (M.D.)

Lan Nguyen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1992242697

Certified Registered Nurse Anesthetist

NPI 1518946706

Doctor of Medicine (M.D.)

Austin Rowe , NP

Nurse Practitioner - Acute Care

NPI 1104498997

Nurse Practitioner

Kimberlie Stickney , PA-C

Physician Assistant

NPI 1285991802

Physician Assistant (Certified)

Dr. Floriane Wu , MD

Emergency Medicine

NPI 1659351401

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 20, 2026

Registered at 4201 BELFORT RD, JACKSONVILLE, FL 322161431 (Tel: 9042963700)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2025

Anesthesiologist Assistant (license number reported to NPPES: FL AA1172)

βœ…
NPI Profile Active September 08, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 08, 2025

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522650111)

πŸ“
Business Mailing Address (Initial Record) September 08, 2025

Registered at 213 BERRY FARM LN, SAINT JOHNS, FL 322597211

πŸ‘€
Provider Name / Credentials (Initial Record) September 08, 2025

Recorded as ETHAN ILAGAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Anesthesiologist Assistant

🟒
Initial NPI Registration & Enumeration September 08, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396626420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2025
Last Update: February 20, 2026
Sole Proprietor: No

Other Anesthesiologist Assistants in Jacksonville

All Anesthesiologist Assistants in Jacksonville

Mailing Address

213 Berry Farm Ln

Saint Johns, FL 322597211

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.