Individual provider Active NPI

Matthew Carnevale, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocala, FL
National Provider Identifier
1063777944
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9169282 Issued in FL
Practice address
3309 SW 34TH Cir
Ste 101
Ocala, FL 34474-3392
Phone
(352) 237-0509
NPI assigned
Jul 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9169282 FL Primary

Addresses

Primary practice location

3309 SW 34TH Cir
Ste 101
Ocala, FL 34474-3392

Mailing address

PO Box 848558
Boston, MA 02284-8558
Phone (352) 237-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000254 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062678527 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Crystal River Anesthesia Associates LLCGroup PAC ID 1951639715, 16 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

6412 W Gulf to Lake Hwy
Crystal River, FL 34429-7622
Phone (352) 563-0023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9169282FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Solace Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Advanced Surgery Center of Oxford PastSince Sep 1, 2019 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

6201 N Suncoast Blvd
#Seven
Crystal River, FL 34428
Phone (352) 795-4008

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

3621 E Forest Dr
Inverness, FL 34453
Phone (352) 563-2450

539 Rolling Acres Rd
Ste D
Lady Lake, FL 32159
Phone (352) 561-8827

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

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

1609 SW 17th St
Ste 300
Ocala, FL 34471
Phone (352) 342-9100

6547 SW State Road 200
Ocala, FL 34476
Phone (352) 355-3300

4600 SW 46th Ct
Ste 150
Ocala, FL 34474
Phone (352) 369-5999

1950 SW 18th Ct
Ste 102
Ocala, FL 34471
Phone (352) 789-6575

2301 SE 3rd Ave
Ste 200
Ocala, FL 34471
Phone (352) 351-0029

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

12117 County Road 103
Oxford, FL 34484
Phone (813) 335-2355

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

400 10th St E
Waconia, MN 55387

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341619200000",
    "number": "1063777944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848558",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848558",
            "telephone_number": "352-237-2400",
            "fax_number": "352-304-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SW 34TH CIR",
            "address_2": "STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743392",
            "telephone_number": "352-237-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEVALE",
        "first_name": "MATTHEW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-07",
        "last_updated": "2012-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9169282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.