Active NPI
John Mathieu, CRNA
- Certified Registered Nurse Anesthetist
- Ft Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9182112
- Practice address
- 4048 Evans Ave
Suite 303
Ft Myers, FL 33901-9322 - Phone
- (239) 332-5344
- Fax
- (239) 332-7246
- NPI assigned
- Oct 26, 2005
- 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 | ARNP9182112 | FL | Primary |
Addresses
Primary practice location
4048 Evans Ave
Suite 303
Ft Myers, FL 33901-9322
Mailing address
4048 Evans Ave
Suite 303
Ft Myers, FL 33901-9322
Phone (239) 332-5344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G2981Z | Other | FL | MCR |
| G2981 | Other | FL | BSFL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
604 N Acadia Rd
Suite 300
Thibodaux, LA 70301-4897
Phone (985) 449-1244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9182112 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zephyr Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients | |
| Jennifer Sassi PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078
1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213
4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050
42107 Veterans Ave
Hammond, LA 70403
Phone (504) 419-1884
3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901
720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955
3717 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-1515
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
4324 Veterans Memorial Blvd
Ste 102
Metairie, LA 70006
3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017
2520 Harvard Ave
Ste 2A
Metairie, LA 70001
Phone (504) 378-3668
1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805
604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088
Organizations & group practices 4
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
- La Place, LA
- NPI 1891087458
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ft Myers, FL
- NPI 1619966694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1104816636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "SUITE 303",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "SUITE 303",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEU",
"first_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9182112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR",
"identifier": "G2981Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL",
"identifier": "G2981",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.