Individual provider Active NPI

Nicholas M Kalynych, CRNA

  • Certified Registered Nurse Anesthetist
  • Ponte Vedra, FL
National Provider Identifier
1003884347
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3014012 Issued in FL
Practice address
690 Majestic Eagle Dr
Sunbelt Anesthesia Services, LLC
Ponte Vedra, FL 32081-0611
Phone
(904) 412-2593
Fax
(904) 686-1817
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLC 883 clinicians

Practice addresses (Care Compare)

7051 Southpoint Pkwy S
Jacksonville, FL 32216-8713
Phone (904) 854-4854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040304001031 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749178580 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3014012FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Anesthesia, PL CurrentSince Aug 1, 2015 Accepting new patients
Baker County Medical Services Inc CurrentSince May 13, 2019 Accepting new patients
Altitude Health Corp I LLC CurrentSince Apr 1, 2024 Accepting new patients
Baker County Medical Services Inc CurrentSince May 13, 2019 Accepting new patients
Sleepy Head Anesthesiology LLC CurrentSince Mar 1, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Sunbelt Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2013 Accepting new patients
Florida Pain Relief Group PLLC Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients
Physician Partners of America Crna Operations LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2025 Accepting new patients
Jacksonville Anesthesia Corporation Inc Past Accepting new patients
Excel Anesthesia Consultants LLC Past Accepting new patients
Baptist Medical Center of the Beaches, Inc Past Accepting new patients
Christian L Koppel MD PA Past Accepting new patients
McGreevy Neurohealth Palm Coast Past Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Oct 25, 2017 Accepting new patients
Florida Anesthesia Associates P a Past Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2416 Lynndale Rd
Fernandina Beach, FL 32034
Phone (904) 432-1521

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777

9905 Old St Augustine Rd
Ste 400
Jacksonville, FL 32257
Phone (904) 374-8843

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

2438 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (727) 565-0740

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3014012 FL
Certified Registered Nurse Anesthetist 367500000X 3014012 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

690 Majestic Eagle Dr
Sunbelt Anesthesia Services, LLC
Ponte Vedra, FL 32081-0611

Mailing address

690 Majestic Eagle Dr
Sunbelt Anesthesia Services,LLC
Ponte Vedra, FL 32081-0611
Phone (904) 412-2593

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
3034364-00MedicaidFL
000892009AMedicaidGA
G20357OtherFLBLUE CROSS / BLUE SHIELD NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2013.

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1003884347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MAJESTIC EAGLE DR",
            "address_2": "SUNBELT ANESTHESIA SERVICES,LLC",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810611",
            "telephone_number": "904-412-2593",
            "fax_number": "904-686-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MAJESTIC EAGLE DR",
            "address_2": "SUNBELT ANESTHESIA SERVICES, LLC",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810611",
            "telephone_number": "904-412-2593",
            "fax_number": "904-686-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALYNYCH",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3014012",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3014012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3034364-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000892009A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD NUMBER",
            "identifier": "G20357",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.