Individual provider Active NPI

Nicah Alicia Ambo Pechacek, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Maitland, FL
National Provider Identifier
1093343675
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11013562 Issued in FL
Practice address
851 Trafalgar CT
Maitland, FL 32751-4132
Phone
(407) 667-0444
NPI assigned
Mar 30, 2020
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 9373151 FL
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X APRN11013562 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 3274957998, 9 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Greater Ocala Anesthesia Associates LLCGroup PAC ID 4284139320, 16 clinicians

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

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9373151FLMDCritical Care Medicine Registered Nurse
APRN11013562FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Anesthesia Associates, LLC Multi-Specialty CurrentSince Aug 10, 2025 Accepting new patients
Greater Ocala Anesthesia Associates LLC Multi-Specialty CurrentSince Sep 22, 2025 Accepting new patients
Anesthesia Dynamics LLC Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Florida Pain Relief Group PLLC Multi-Specialty CurrentSince Oct 14, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Multi-Specialty CurrentSince May 4, 2022 Accepting new patients
Sheridan Healthcorp, Inc. Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Sheridan Healthcorp Inc Multi-Specialty Current Accepting new patients
Physician Partners of America Crna Operations LLC Multi-Specialty CurrentSince Jun 17, 2025 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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1093343675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 SWEET OAK ST",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347617607",
            "telephone_number": "305-519-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 TRAFALGAR CT",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514132",
            "telephone_number": "407-667-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBO PECHACEK",
        "first_name": "NICAH",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "9373151",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11013562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.