Individual provider Active NPI

Darryl Lee Trundle, CRNA

  • Certified Registered Nurse Anesthetist
  • Titusville, FL
National Provider Identifier
1174877765
Registry record updated Nov 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9351918 Issued in FL
Practice address
951 N Washington Ave
Titusville, FL 32796-2163
Phone
(321) 268-6111
NPI assigned
Nov 3, 2012
Last updated
Nov 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2012

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 9351918 FL Primary

Addresses

Primary practice location

951 N Washington Ave
Titusville, FL 32796-2163

Mailing address

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000434 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608013115 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians

Practice addresses (Care Compare)

1832 Garden St
Suite a
Titusville, FL 32796-3200
Phone (321) 267-0008

814 S Washington Ave
Titusville Center Surgery Excel
Titusville, FL 32780-4262
Phone (321) 567-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9351918FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironcrest Anesthesia LLC CurrentSince Jan 1, 2026 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2023 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Lovelock Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2022 Accepting new patients

Locations

5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

2010 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 552-0608

1832 Garden St
Ste A
Titusville, FL 32796
Phone (321) 264-1961

814 S Washington Ave
Titusville, FL 32780
Phone (321) 567-6300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351900800000",
    "number": "1174877765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962163",
            "telephone_number": "321-268-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962163",
            "telephone_number": "321-268-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNDLE",
        "first_name": "DARRYL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-03",
        "last_updated": "2012-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9351918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2012; 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.