Active NPI
Jason Fernandes, CRNA
- Certified Registered Nurse Anesthetist
- Troy, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 839415
- Practice address
- 2215 Burdett Ave
Troy, NY 12180-2475 - Phone
- (518) 525-8600
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11000815 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 839415 | NY | Primary |
Addresses
Primary practice location
2215 Burdett Ave
Troy, NY 12180-2475
Mailing address
86 Providence LN
Palm Coast, FL 32164-4758
Phone (386) 503-8825
Other practice location 1
1000 36th St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, NY
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 39.78 of 100
- Quality
- 24.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11000815 | FL | MD | Certified Registered Nurse Anesthetist |
| 839415 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Physician Health, P.C. | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Anesthesiology Professional Services, Inc. | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
2333 W Hillsborough Ave
Ste 110
Tampa, FL 33603
Phone (813) 291-7014
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1000 36th St
Ste 244
Vero Beach, FL 32960
Phone (772) 778-9621
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303
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.
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1902856891
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Anesthesiology Physician
- McAllen, TX
- NPI 1346570355
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Vero Beach, FL
- NPI 1912208505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1093282279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 PROVIDENCE LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321644758",
"telephone_number": "386-503-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 BURDETT AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121802475",
"telephone_number": "518-525-8600"
}
],
"practiceLocations": [
{
"address_1": "1000 36th St",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329604862",
"country_code": "US",
"telephone_number": "772-567-4311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDES",
"first_name": "JASON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-25",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11000815",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "839415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.