Active NPI
Nicholas M Kalynych, CRNA
- Certified Registered Nurse Anesthetist
- Ponte Vedra, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3014012
- 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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ponte Vedra, FL
- NPI 1205172079
FL, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
FL, Nurse Practitioner
-
- Anesthesiology Physician
- Hurst, TX
- NPI 1992129365
FL, Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Macclenny, FL
- NPI 1386082220
-
- Anesthesiology Physician
- Odessa, FL
- NPI 1548873599
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1457623514
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1760684492
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1740264118
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1033163738
-
- Neurology Physician
- Palm Coast, FL
- NPI 1043670532
-
- Primary Care Clinic/Center
- Jacksonville, FL
- NPI 1598278707
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3014012 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amelia Anesthesia, PL | Current | Accepting new patients | |
| Baker County Medical Services Inc | Current | Accepting new patients | |
| Altitude Health Corp I LLC | Current | Accepting new patients | |
| Baker County Medical Services Inc | Current | Accepting new patients | |
| Sleepy Head Anesthesiology LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sunbelt Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Pain Relief Group PLLC | Nurse Practitioner | Current | Accepting new patients |
| Physician Partners of America Crna Operations LLC | Nurse Anesthetist, Certified Registered | Current | 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 | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3014012 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 3014012 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3034364-00 | Medicaid | FL | |
| 000892009A | Medicaid | GA | |
| G20357 | Other | FL | BLUE 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.