NPIMap

Individual provider Active NPI

Carmen Chan

  • Certified Registered Nurse Anesthetist
  • North Miami, FL
National Provider Identifier
1063989093
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11000846 Issued in FL
Practice address
2111 Sole Mia Way
North Miami, FL 33181-2492
Phone
(305) 243-4000
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 APRN11000846 FL Primary

Addresses

Primary practice location

2111 Sole Mia Way
North Miami, FL 33181-2492

Mailing address

2111 Sole Mia Way
North Miami, FL 33181-2492
Phone (305) 243-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190410001046 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486995958 Reassigns benefits to 4 organizations
I20250812001978 NJ Practitioner - Nurse Practitioner 4486995958 Reassigns benefits to 1 organization
I20251029004284 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486995958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Miami Beach Anesthesiology Associates IncGroup PAC ID 6103713243, 61 clinicians

Practice addresses (Care Compare)

2111 Sole Mia Way
Uhealth Sol Mia
North Miami, FL 33181-2492
Phone (786) 392-7653

355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000

4300 Alton Rd
Miami, FL 33140-2948
Phone (888) 851-4642

9035 Sunset Dr
Suite 200
Miami, FL 33173-3451
Phone (786) 615-6210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9332061FLMDRegistered Nurse
APRN11000846FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2025 Accepting new patients
University of Miami CurrentSince Nov 6, 2025 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince May 31, 2025 Accepting new patients
Miami Beach Anesthesiology Associates Inc CurrentSince Mar 9, 2019 Accepting new patients
Rory Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2021 Accepting new patients
University of Miami Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2025 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

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

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

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2441 SW 37th Ave
Miami, FL 33145
Phone (305) 442-0055

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

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

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

2111 Sole Mia Way
North Miami, FL 33181
Phone (786) 392-7653

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 7

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1063989093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SOLE MIA WAY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812492",
            "telephone_number": "305-243-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SOLE MIA WAY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812492",
            "telephone_number": "305-243-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11000846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.