Individual provider Active NPI

Wilfred R Lovelock, CRNA

  • Certified Registered Nurse Anesthetist
  • Melbourne, FL
National Provider Identifier
1124110150
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9296902 Issued in FL
Practice address
8040 N Wickham Rd
Melbourne, FL 32940-8367
Phone
(321) 757-7272
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 097420 LA
Certified Registered Nurse Anesthetist 367500000X 9296902 FL Primary

Addresses

Primary practice location

8040 N Wickham Rd
Melbourne, FL 32940-8367

Mailing address

1335 Ramblebrook St
Malabar, FL 32950-4210
Phone (239) 246-0512

Other identifiers 1

IdentifierTypeStateIssuer
1468924MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000115 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325000383 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
North Tampa Anesthesia ConsultantsGroup PAC ID 2860474483, 20 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 102
Orlando, FL 32825-3710
Phone (407) 506-0006

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (772) 589-3185

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
097420LAMDAnesthesiology Physician
9296902FLMDCertified Registered Nurse Anesthetist

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Florida Eye Institute Surgicenter LLC CurrentSince Jun 25, 2025 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jan 10, 2026 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Aug 18, 2025 Accepting new patients
Lovelock Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
North Tampa Anesthesia Consultants Anesthesiology CurrentSince Nov 17, 2016 Accepting new patients
Steward Anesthesiology Physicians of Florida Inc. Anesthesiology CurrentSince Jan 31, 2020 Accepting new patients
Childrens Hospital Anesthesia Corporation Anesthesiology Past Accepting new patients
Florida Eye Institute Surgicenter LLC Anesthesiology Past Accepting new patients
The Stingl Family Foundation, Inc PastSince May 7, 2016 Accepting new patients

Locations

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

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

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

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

8040 N Wickham Rd
Melbourne, FL 32940
Phone (321) 757-7272

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

1700 W Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 500-5633

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

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

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

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

2750 Indian River Blvd
Vero Beach, FL 32960
Phone (561) 569-9500

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1124110150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 RAMBLEBROOK ST",
            "city": "MALABAR",
            "state": "FL",
            "postal_code": "329504210",
            "telephone_number": "239-246-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408367",
            "telephone_number": "321-757-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELOCK",
        "first_name": "WILFRED",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "097420",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9296902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468924",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.