Active NPI
Michael Angeloro, CRNA
- Certified Registered Nurse Anesthetist
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP3065242
- Practice address
- 995 Mar Walt Dr
Fort Walton Beach, FL 32547-6758 - Phone
- (850) 863-7887
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3065242 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 155292 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 050542 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | 053324-23-11 | NH |
Addresses
Primary practice location
995 Mar Walt Dr
Fort Walton Beach, FL 32547-6758
Mailing address
1405 Windward LN
Niceville, FL 32578-4343
Phone (850) 897-8978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000694196C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NH, ME
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040309000724 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547158735 | Reassigns benefits to 4 organizations |
| I20100107000242 | NH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547158735 | Reassigns benefits to 2 organizations |
| I20181029001953 | ME | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547158735 |
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 Care Group PCAnesthesia Dynamics LLC
Practice addresses (Care Compare)
5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 778-7311
560 Jackson St N
Suite 200
St Petersburg, FL 33705-1449
Phone (727) 820-7500
Hospital & facility affiliations
- Exeter Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155292 | MA | MD | Certified Registered Nurse Anesthetist |
| 050542 | ME | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| St Lucie Anesthesia Associates LLC | Current | Accepting new patients | |
| Miami Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Lucie Anesthesia Associates, LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Care Group PC | Current | Accepting new patients | |
| North American Partners in Anesthesia New Hampshire LLP | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Seacoast Anesthesia PA | Past | Accepting new patients | |
| Broad Anesthesia Associates | Past | Accepting new patients |
Locations
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
995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7887
306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326
2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 12
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
- Orange Park, FL
- NPI 1487945895
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Aventura, FL
- NPI 1821475179
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
NH
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1851252902
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Critical Access Hospital
- Damariscotta, ME
- NPI 1629558432
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1033136064
-
- Anesthesiology Physician
- Exeter, NH
- NPI 1457306367
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": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306713600000",
"number": "1053379917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 WINDWARD LN",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325784343",
"telephone_number": "850-897-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476758",
"telephone_number": "850-863-7887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELORO",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2011-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP3065242",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "155292",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "050542",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "053324-23-11",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000694196C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.