Individual provider Active NPI

Robert Weider

  • Certified Registered Nurse Anesthetist
  • New Port Richey, FL
National Provider Identifier
1164838124
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9288505 Issued in FL
Practice address
5424 Grand Blvd
New Port Richey, FL 34652-4008
Phone
(727) 845-1736
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024189708 VA
Certified Registered Nurse Anesthetist 367500000X ARNP9288505 FL Primary

Addresses

Primary practice location

5424 Grand Blvd
New Port Richey, FL 34652-4008

Mailing address

5424 Grand Blvd
New Port Richey, FL 34652-4008
Phone (727) 845-1736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141028001886 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163643529
I20240701001998 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163643529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rector and Visitors of the University of VirginiaGroup PAC ID 4789592718, 96 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1215 Lee St Main Hospital
Charlottesville, VA 22908-0816
Phone (434) 924-0000

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Centra Bedford Memorial Hospital Hospital, Bedford, VA, CCN 490088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9288505FLMDCertified Registered Nurse Anesthetist
0024189708VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rector & Visitors of the University of Virginia CurrentSince Apr 15, 2024 Accepting new patients
Centra Medical Group, LLC CurrentSince May 1, 2025 Accepting new patients
Rector and Visitors of the University of Virginia Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2024 Accepting new patients
Rector & Visitors of the University of Virginia Current Accepting new patients

Locations

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

2955 Ivy Rd
Ste 201
Charlottesvle, VA 22903
Phone (434) 243-4520

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

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.

Hospital & facility affiliations 9

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1164838124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524008",
            "telephone_number": "727-845-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524008",
            "telephone_number": "727-845-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDER",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024189708",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9288505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.