Individual provider Active NPI

Theresa Gayle Sheahan, CRNA

  • Certified Registered Nurse Anesthetist
  • Pace, FL
National Provider Identifier
1013919547
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209015976 Issued in IL
Practice address
4069 Berry Cir
Pace, FL 32571-6361
Phone
(850) 723-4372
NPI assigned
Aug 15, 2005
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9174463 FL
Certified Registered Nurse Anesthetist 367500000X 209015976 IL Primary

Addresses

Primary practice location

4069 Berry Cir
Pace, FL 32571-6361

Mailing address

4069 Berry Cir
Pace, FL 32571-6361
Phone (850) 723-4372

Other identifiers 5

IdentifierTypeStateIssuer
430077530OtherFLRAILROAD MEDICARE
009900445MedicaidAL
304864100MedicaidFL
59174082OtherALBLUE CROSS & BLUE SHIELD
G2809OtherFLBLUE CROSS & BLUE SHIELD

Other names 1

  • Theresa G Sheahan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060324000529 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092723510 Reassigns benefits to 4 organizations
I20190215001506 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092723510 Reassigns benefits to 1 organization
I20190930002346 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092723510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Albany Medical College of Union University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians

Practice addresses (Care Compare)

2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9174463FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2014 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2015 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Jan 22, 2019 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2015 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2022 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 17, 2014 Accepting new patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Hospital CurrentSince Jul 24, 2019 Accepting new patients
Houston Cypress Anesthesia LLP Nurse Anesthetist, Certified Registered Past Accepting new patients
Sarasota Anesthesiologists, PA PastSince Jan 26, 2004 Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1013919547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 BERRY CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325716361",
            "telephone_number": "850-723-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 BERRY CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325716361",
            "telephone_number": "850-723-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAHAN",
        "first_name": "THERESA",
        "middle_name": "GAYLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9174463",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209015976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430077530",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009900445",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304864100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "59174082",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "G2809",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "SHEAHAN",
            "middle_name": "G",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.