Individual provider Active NPI

Cameron Scott Cushenbery, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1093953259
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9207716 Issued in FL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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 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

IdentifierTypeStateIssuer
902227421AMedicaidGA
0006927-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000222 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577629930 Reassigns benefits to 13 organizations

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
Amelia Anesthesia PLGroup PAC ID 9436394673, 16 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Sunbelt Anesthesia Services, LLCGroup PAC ID 9436392438, 21 clinicians

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

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Baker County Medical Services Inc CurrentSince Apr 1, 2018 Accepting new patients
North Florida Anesthesia Consultants, Inc. CurrentSince Aug 1, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Rizwana Thanawala MD PA CurrentSince Apr 22, 2022 Accepting new patients
North Florida Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
Baker County Medical Services Inc CurrentSince Apr 1, 2018 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Jun 26, 2021 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2014 Accepting new patients
Amelia Anesthesia, PL CurrentSince Aug 1, 2015 Accepting new patients
Sleepy Head Anesthesiology LLC CurrentSince Feb 1, 2021 Accepting new patients
Mid Florida Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2021 Accepting new patients
Physician Partners of America Crna Operations LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2025 Accepting new patients
McGreevy Neurohealth Palm Coast Past Accepting new patients
Jacksonville Beaches Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
Christian L Koppel MD PA Past Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Jan 1, 2017 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.

View all 21

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.