Individual provider Active NPI

Evelyn V Santiago Gonzalez, CRNA

  • Certified Registered Nurse Anesthetist
  • Ormond Beach, FL
National Provider Identifier
1053621292
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9253474 Issued in FL
Practice address
1545 Hand Ave Ste A1
Ormond Beach, FL 32174-1140
Phone
(386) 274-2977
Fax
(386) 274-2997
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 ARNP9253474 FL
Certified Registered Nurse Anesthetist 367500000X APRN9253474 FL Primary

Addresses

Primary practice location

1545 Hand Ave Ste A1
Ormond Beach, FL 32174-1140

Mailing address

1329 SW 16TH St RM 2232
Gainesville, FL 32608-1128
Phone (352) 733-0485

Other practice location 1

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 254-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000891 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012106701 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Space Coast Anesthesia Services LLCGroup PAC ID 5496805426, 3 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

1545 Hand Ave
Suite A2
Ormond Beach, FL 32174-1140
Phone (386) 457-7114

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

303 N Clyde Morris Blvd
Halifax Health
Daytona Beach, FL 32114-2709
Phone (386) 425-4000

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9253474FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Innovative Medical Staffing Solutions Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2021 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2020 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Brevard Physician Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Space Coast Anesthesia Services LLC CurrentSince Mar 4, 2021 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Oct 1, 2018 Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2018 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jan 2, 2018 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2016 Accepting new patients
Sarasota Anesthesia Services LLC CurrentSince Apr 25, 2022 Accepting new patients
Riverside Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2020 Accepting new patients
Orange City Anesthesia Services LLC CurrentSince Jul 3, 2019 Accepting new patients

Locations (25 of 29)

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

541 Health Blvd
Daytona Beach, FL 32114
Phone (386) 239-0021

1615 Dr Martin Luther King Blvd
Deltona, FL 32725
Phone (386) 204-3911

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

7207 Golden Wings Rd
Ste 200
Jacksonville, FL 32244
Phone (904) 389-1014

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

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

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

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

1600 SE 17th St
Ocala, FL 34471
Phone (615) 240-3720

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1053 Medical Center Dr
Ste 201
Orange City, FL 32763
Phone (386) 405-1424

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1545 Hand Ave
Ste A2
Ormond Beach, FL 32174
Phone (386) 457-7114

300 Clyde Morris Blvd
Ste B
Ormond Beach, FL 32174
Phone (386) 672-1080

61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: esantiagogonzalez71739@adventhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1053621292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SW 16TH ST RM 2232",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081128",
            "telephone_number": "352-733-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE STE A1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741140",
            "telephone_number": "386-274-2977",
            "fax_number": "386-274-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142709",
            "country_code": "US",
            "telephone_number": "386-254-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO GONZALEZ",
        "first_name": "EVELYN",
        "middle_name": "V",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9253474",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9253474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.