Nicah Alicia Ambo Pechacek, DNP, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Maitland, FL
NPI 1093343675 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1093343675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APRN11013562 (FL)
- Practice address
- 851 Trafalgar CT
Maitland, FL 32751-4132 - Phone
- (407) 667-0444
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orange County Anesthesia Associates, LLC
Sheridan Healthcorp Inc
Anesthesia Dynamics LLC
Greater Ocala Anesthesia Associates LLC
Novant Health New Hanover Regional Medical Center LLC
Practice addresses (Care Compare)
100 N Dean Rd
Suite 102
Orlando, FL 32825-3710
Phone (407) 506-0006
1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1033
17355 SE 109TH Terrace Rd
Summerfield, FL 34491-8930
Phone (888) 851-4642
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
Hospital & facility affiliations
- Marion Communtiy Hospital
- Novant Health New Hanover Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211105002097 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688063050 | Reassigns benefits to 7 organizations |
| I20260501000196 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688063050 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9373151 | FL | MD | Critical Care Medicine Registered Nurse |
| APRN11013562 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Multi-Specialty | Current |
Accepting new patients |
| Orange County Anesthesia Associates, LLC | Multi-Specialty | Current |
Accepting new patients |
| Physician Partners of America Crna Operations LLC | Multi-Specialty | Current |
Accepting new patients |
| Florida Pain Relief Group PLLC | Multi-Specialty | Current |
Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Multi-Specialty | Current |
Accepting new patients |
| Sheridan Healthcorp, Inc. | Multi-Specialty | Current |
Accepting new patients |
| Greater Ocala Anesthesia Associates LLC | Multi-Specialty | Current |
Accepting new patients |
| Sheridan Healthcorp Inc | Multi-Specialty | Current | Accepting new patients |
Locations
10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001
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
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
17355 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 245-0846
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493
4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 9373151 | FL | |
| Certified Registered Nurse Anesthetist |
367500000X | APRN11013562 | FL | Yes |
Addresses
Primary practice location
851 Trafalgar CT
Maitland, FL 32751-4132
Mailing address
2453 Sweet Oak St
Ocoee, FL 34761-7607
Phone (305) 519-1625
Other providers in Maitland, FL
- Rolando Amadeo
- Carolina Amador
- Amanda Wiegert, LLC
- Amar G Patel MD LLC
- Ambassador Ancillary Services LLC
- Olivia Ambs
- Austin Ambur
- Jane Lynn Amer
- Americhoice Home Health, Inc
- Ana L. Gomez, Psy.D. P.a.
All providers in Maitland, FL · Certified Registered Nurse Anesthetist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.