Individual provider Active NPI

Angela G Diaz, CRNA

  • Certified Registered Nurse Anesthetist
  • Longwood, FL
National Provider Identifier
1124067889
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3404772 Issued in FL
Practice address
515 W State Road 434 Ste 105
Longwood, FL 32750-5161
Phone
(407) 260-6000
Fax
(407) 260-2133
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 ARNP3404772 FL Primary

Addresses

Primary practice location

515 W State Road 434 Ste 105
Longwood, FL 32750-5161

Mailing address

7600 W Sunrise Blvd
Mail Stop-PL-31
Plantation, FL 33322-4115
Phone (407) 697-8356

Other practice location 1

700 W Oak Street
Kissimmee, FL 34741-4996
Phone (407) 846-2266

Other identifiers 2

IdentifierTypeStateIssuer
114970900MedicaidFL
307655500MedicaidFL

Other names 1

  • Angela G Acosta Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060720000264 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103839964 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Filutowski Eye Institute PAGroup PAC ID 6406843945, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

1070 Greenwood Blvd
Lake Mary, FL 32746-5404
Phone (407) 333-1537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3404772FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Filutowski Eye Institute PA CurrentSince Dec 17, 2024 Accepting new patients
Filutowski Eye Institute PA CurrentSince Dec 17, 2024 Accepting new patients
Amsurg Citrus Anesthesia LLC CurrentSince Jun 20, 2024 Accepting new patients
St . Lukes at the Villages, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 28, 2024 Accepting new patients
Endoscopic Anesthesia Group, P.a. CurrentSince Mar 22, 2021 Accepting new patients
Filutowski Eye Institute PA CurrentSince Dec 17, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 12, 2019 Accepting new patients
Fpra Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2016 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2024 Accepting new patients
Filutowski Eye Institute PA Current Accepting new patients
Amsurg Altamonte Springs Anesthesia, LLC CurrentSince Jun 20, 2024 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2024 Accepting new patients
Kanumuri Medical Group PA Past Accepting new patients
Orlando Anesthesia Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients
MNH Gi Anesthesia & Pain Management LLC Past Accepting new patients
Sleep Well Anesthetists Nurse Anesthetist, Certified Registered PastSince Mar 24, 2024 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701
Phone (407) 478-0871

110 Yorktowne Dr
Daytona Beach, FL 32119
Phone (386) 788-6696

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1070 Greenwood Blvd
Lake Mary, FL 32746
Phone (407) 333-1537

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

1817 N Mills Ave
Orlando, FL 32803
Phone (407) 241-3248

2861 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 472-5095

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2295 S Hiawassee Rd
Ste 101
Orlando, FL 32835
Phone (407) 902-2533

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

150 SW Chamber Ct
Ste 104
Port St Lucie, FL 34986
Phone (772) 879-5300

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

Interoperability endpoints

  • Direct secure messaging: angela.diaz.p3@direct.stlukeseye.nextgenshare.com
  • Direct secure messaging: angela.diaz.p1@direct.stlukeseye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1124067889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W SUNRISE BLVD",
            "address_2": "MAIL STOP-PL-31",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224115",
            "telephone_number": "407-697-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434 STE 105",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505161",
            "telephone_number": "407-260-6000",
            "fax_number": "407-260-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Oak Street",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414996",
            "country_code": "US",
            "telephone_number": "407-846-2266",
            "fax_number": "863-618-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANGELA",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3404772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114970900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307655500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ACOSTA",
            "middle_name": "G",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.