Active NPI
Cameron Scott Cushenbery, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9207716
- Practice address
- 3910 Charter House Dr
Jacksonville, FL 32224-7797 - Phone
- (904) 703-4829
- Fax
- (904) 232-8559
- NPI assigned
- Jan 27, 2009
- Last updated
- Feb 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9207716 | FL | Primary |
Addresses
Primary practice location
3910 Charter House Dr
Jacksonville, FL 32224-7797
Mailing address
3910 Charter House Dr
Jacksonville, FL 32224-7797
Phone (904) 703-4829
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902227421A | Medicaid | GA | |
| 0006927-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 S 18TH St
Fernandina Beach, FL 32034-3098
Phone (904) 321-3500
159 N 3Rd St
Macclenny, FL 32063-2103
Phone (904) 259-3151
7051 Southpoint Pkwy S
Jacksonville, FL 32216-8713
Phone (904) 854-4854
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baker County Medical Services Inc | Current | Accepting new patients | |
| North Florida Anesthesia Consultants, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Rizwana Thanawala MD PA | Current | Accepting new patients | |
| North Florida Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Pain Relief Group PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baker County Medical Services Inc | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amelia Anesthesia, PL | Current | Accepting new patients | |
| Sleepy Head Anesthesiology LLC | Current | Accepting new patients | |
| Mid Florida Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physician Partners of America Crna Operations LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McGreevy Neurohealth Palm Coast | Past | Accepting new patients | |
| Jacksonville Beaches Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Christian L Koppel MD PA | Past | Accepting new patients | |
| Sunbelt Visiting Primary Care LLC | Past | Accepting new patients | |
| Excel Anesthesia Consultants LLC | Past | 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
1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone 90439827201308
3316 3rd St S
Ste 200
Jax Bch, FL 32250
Phone (904) 247-8181
4367 NW American Ln
Lake City, FL 32055
Phone (386) 758-6094
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815
1950 SW 18th Ct
Ste 102
Ocala, FL 34471
Phone (352) 789-6575
1670 Eagle Harbor Pkwy
Orange Park, FL 32003
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
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
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
Organizations & group practices 21
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.
-
- Anesthesiology Physician
- Fernandina Beach, FL
- NPI 1508103540
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
-
- Anesthesiology Physician
- Ponte Vedra, FL
- NPI 1205172079
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ocala, FL
- NPI 1770050452
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1346236866
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Lake City, FL
- NPI 1194945097
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Anesthesiology Physician
- Hurst, TX
- NPI 1992129365
FL, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1093953259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 CHARTER HOUSE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322247797",
"telephone_number": "904-703-4829",
"fax_number": "904-232-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 CHARTER HOUSE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322247797",
"telephone_number": "904-703-4829",
"fax_number": "904-232-8559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHENBERY",
"first_name": "CAMERON",
"middle_name": "SCOTT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9207716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "902227421A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006927-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.