Individual provider Active NPI

Elaine Desman, CRNA

  • Certified Registered Nurse Anesthetist
  • Stuart, FL
National Provider Identifier
1023020898
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2174762 Issued in FL
Practice address
421 SE Osceola St
Stuart, FL 34994-2505
Phone
(772) 286-0338
Fax
(772) 287-1139
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP2174762 FL Primary

Addresses

Primary practice location

421 SE Osceola St
Stuart, FL 34994-2505

Mailing address

421 SE Osceola St
Stuart, FL 34994-2505
Phone (772) 286-0338

Other identifiers 1

IdentifierTypeStateIssuer
G1314OtherFLBCBS OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000142 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365601739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Anesthesia - FL LLCGroup PAC ID 6103205620, 106 clinicians

Practice addresses (Care Compare)

3800 Johnson St
Suite D
Hollywood, FL 33021-6052
Phone (917) 681-4963

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Anesthesia Group PA Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2013 Accepting new patients
Treasure Coast Anesthesiology, P.a. Past Accepting new patients

Locations

10080 SW Innovation Way
Ste 101
Port St Lucie, FL 34987
Phone (561) 358-2445

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023020898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942505",
            "telephone_number": "772-286-0338",
            "fax_number": "772-287-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942505",
            "telephone_number": "772-286-0338",
            "fax_number": "772-287-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMAN",
        "first_name": "ELAINE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2174762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "G1314",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.