Individual provider Active NPI

John Mathieu, CRNA

  • Certified Registered Nurse Anesthetist
  • Ft Myers, FL
National Provider Identifier
1104816636
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9182112 Issued in FL
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

Updated by the provider on Aug 30, 2007

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 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

IdentifierTypeStateIssuer
G2981ZOtherFLMCR
G2981OtherFLBSFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000155 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032294921 Reassigns benefits to 2 organizations

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
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

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

LicenseStateTypeSpecialty
ARNP9182112FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2022 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2017 Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. PastSince May 1, 2015 Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 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.

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.

Verify at the official NPI Registry.