Individual provider Active NPI

Janet Rustia, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1053529131
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9287785 Issued in FL
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

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003349000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000427 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658444831 Reassigns benefits to 3 organizations

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
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
ARNP9287785FLMDRegistered Nurse
26N009399700NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC CurrentSince Jun 1, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 13, 2024 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Sep 1, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Apr 13, 2024 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.

Hospital & facility affiliations 2

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": "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.

Verify at the official NPI Registry.