Individual provider Active NPI

Berilin Rogers, CRNA

  • Certified Registered Nurse Anesthetist
  • Melbourne, FL
National Provider Identifier
1174934715
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
103410 Issued in FL
Practice address
520 E Strawbridge Ave
Melbourne, FL 32901-4732
Phone
(321) 837-3820
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 103410 FL Primary

Addresses

Primary practice location

520 E Strawbridge Ave
Melbourne, FL 32901-4732

Mailing address

4485 Greenhill St
Cocoa, FL 32927-3517
Phone (407) 489-2472

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL T071420200003503 Orange Anesthesia Associates, Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140818001790 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668699463 Reassigns benefits to 4 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
Anesthesiologists of Greater Orlando IncGroup PAC ID 7416928536, 339 clinicians
Orlando Anesthesia Consultants PAGroup PAC ID 6204729056, 17 clinicians

Practice addresses (Care Compare)

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (954) 939-5000

88 W Kaley St
Orlando, FL 32806-2931
Phone (407) 423-0573

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103410FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Orlando Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Anesthesiologists of Greater Orlando Inc CurrentSince Aug 30, 2021 Accepting new patients
Brevard Physician Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2014 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2021 Accepting new patients
Brevard Anesthesia Services PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

890 Medical Park Dr
Clermont, FL 34711
Phone (352) 241-7142

2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

520 E Strawbridge Ave
Melbourne, FL 32901

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1405 S Orange Ave
Ste 400
Orlando, FL 32806
Phone (407) 425-6226

88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 9

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 1

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": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174934715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 GREENHILL ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329273517",
            "telephone_number": "407-489-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E STRAWBRIDGE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014732",
            "telephone_number": "321-837-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "BERILIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "103410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "T071420200003503",
            "affiliation": "Y",
            "affiliationName": "Orange Anesthesia Associates, Inc.",
            "address_1": "1405 S Orange Ave Ste 400",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328062147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.