Active NPI
Shane Nanan
- Certified Registered Nurse Anesthetist
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11003371
- Practice address
- 1210 S Old Dixie Hwy
Jupiter, FL 33458-7205 - Phone
- (561) 263-2234
- NPI assigned
- May 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11003371 | FL | Primary |
Addresses
Primary practice location
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Mailing address
473 Cresta Cir
West Palm Beach, FL 33413-1043
Phone (561) 574-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300
Hospital & facility affiliations
- St Mary'S Medical Center
- HCA Florida Lawnwood Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11003371 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Treasure Coast Anesthesia Group PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Florida Anesthesia & Pain Treatment, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bethesda Anesthesia Associates, Inc. | Current | Accepting new patients | |
| Bethesda Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Medicine Services of FL, LLC | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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.
-
- Anesthesiology Physician
- Miami, FL
- NPI 1346947496
-
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1528302866
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1801054473
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1013350875
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
-
- Anesthesiology Physician
- West Palm Beach, FL
- NPI 1043883622
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1811560329
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1952333205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1184289258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 CRESTA CIR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334131043",
"telephone_number": "561-574-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S OLD DIXIE HWY",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587205",
"telephone_number": "561-263-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANAN",
"first_name": "SHANE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-04",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11003371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.