Individual provider Active NPI

Gary B Olenick, CRNA

  • Certified Registered Nurse Anesthetist
  • Jupiter, FL
National Provider Identifier
1184681512
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9190460 Issued in FL
Practice address
1210 So Old Dixie Hwy
Jupiter, FL 33458
Phone
(561) 649-3138
Fax
(561) 649-3029
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 APRN9190460 FL Primary

Addresses

Primary practice location

1210 So Old Dixie Hwy
Jupiter, FL 33458

Mailing address

PO Box 1620
Jupiter, FL 33468
Phone (561) 649-3138

Other identifiers 1

IdentifierTypeStateIssuer
G3174OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090212000681 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638176027 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-4396

13655 Pasteur Blvd
Palm Beach Gardens, FL 33418-7392
Phone (804) 237-7129

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9190460FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC CurrentSince Oct 4, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Oct 20, 2024 Accepting new patients
Bethesda Anesthesia Associates, Inc. Current Accepting new patients
Bethesda Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2009 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Oct 7, 2018 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2018 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Oct 20, 2024 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Jul 5, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

12961 Palms West Dr
Loxahatchee, FL 33470
Phone (561) 793-0437

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

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

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

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

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Organizations & group practices 11

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 3

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1184681512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1620",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33468",
            "telephone_number": "561-649-3138",
            "fax_number": "561-649-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SO OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-649-3138",
            "fax_number": "561-649-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENICK",
        "first_name": "GARY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9190460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3174",
            "state": "FL"
        }
    ],
    "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 Sep 3, 2024; 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.