Individual provider Active NPI

Hailey Faith Bourdon

  • Certified Registered Nurse Anesthetist
  • Titusville, FL
National Provider Identifier
1053073767
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11019725 Issued in FL
Practice address
2965 Knox McRae Dr
Titusville, FL 32780-5179
Phone
(814) 282-3439
NPI assigned
Oct 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 APRN11019725 FL Primary
Registered Nurse 163W00000X 9465714 FL

Addresses

Primary practice location

2965 Knox McRae Dr
Titusville, FL 32780-5179

Mailing address

2965 Knox McRae Dr
Titusville, FL 32780-5179
Phone (814) 282-3439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721001978 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274914213 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians
Parrish Anesthesia Specialist, LLCGroup PAC ID 8921289943, 36 clinicians
American Anesthesiology Services of Florida IncGroup PAC ID 1850674540, 159 clinicians

Practice addresses (Care Compare)

5191 1St Coast Tech Pkwy
FL 1
Jacksonville, FL 32224-0609
Phone (904) 593-5146

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9465714FLMDRegistered Nurse
APRN11019725FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2023 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Space Coast Anesthesia Services LLC CurrentSince Oct 2, 2023 Accepting new patients
Parrish Anesthesia Specialist, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2023 Accepting new patients

Locations

6705 NW 10th Pl
Gainesville, FL 32605
Phone (352) 333-4555

5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146

595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

814 S Washington Ave
Titusville, FL 32780
Phone (321) 567-6300

951 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 268-6836

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549

Organizations & group practices 6

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.

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": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1053073767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805179",
            "telephone_number": "814-282-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805179",
            "telephone_number": "814-282-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDON",
        "first_name": "HAILEY",
        "middle_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11019725",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9465714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.