Active NPI
Janet Rustia, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9287785
- Practice address
- 6138 Kennerly Rd Ste 201
Jacksonville, FL 32216-4395 - Phone
- (904) 208-4120
- NPI assigned
- May 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26N009399700 | NJ | |
| Registered Nurse | 163W00000X | ARNP9287785 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9287785 | FL | Primary |
Addresses
Primary practice location
6138 Kennerly Rd Ste 201
Jacksonville, FL 32216-4395
Mailing address
808 S Black Cherry Dr
Saint Johns, FL 32259-4099
Phone (908) 415-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003349000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111
653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9287785 | FL | MD | Registered Nurse |
| 26N009399700 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Anesthesia Physician Solutions of North Florida, LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rutgers Health-RWJ Scleroderma Program | Past | Accepting new patients | |
| Christian L Koppel MD PA | Past | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
368 NE Franklin St
Lake City, FL 32055
Phone (386) 292-8000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
Organizations & group practices 9
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 1437757127
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1629448071
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1699935965
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1457623514
-
- Pain Medicine (Anesthesiology) Physician
- New Brunswick, NJ
- NPI 1982798922
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345766400000",
"number": "1053529131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S BLACK CHERRY DR",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322594099",
"telephone_number": "908-415-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6138 KENNERLY RD STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164395",
"telephone_number": "904-208-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSTIA",
"first_name": "JANET",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2012-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26N009399700",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "ARNP9287785",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9287785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003349000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.