Individual provider Active NPI

Heather Wiley Suescun, CRNA

  • Certified Registered Nurse Anesthetist
  • Henderson, NV
National Provider Identifier
1184783219
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA000351 Issued in NV
Practice address
129 W Lake Mead Pkwy
#B-18
Henderson, NV 89015-7055
Phone
(702) 564-4440
Fax
(702) 558-1522
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN521982L PA
Certified Registered Nurse Anesthetist 367500000X APRN9431157 FL
Certified Registered Nurse Anesthetist 367500000X CRNA000351 NV Primary

Addresses

Primary practice location

129 W Lake Mead Pkwy
#B-18
Henderson, NV 89015-7055

Mailing address

129 W Lake Mead Pkwy
#B-18
Henderson, NV 89015-7055
Phone (702) 564-4440

Other practice location 1

1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone (941) 917-6812

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110002844 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608029178 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Florida Anesthesia LLCGroup PAC ID 8729329743, 9 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

13837 Circa Crossing Dr
Suite 100
Lithia, FL 33547-4383
Phone (813) 535-6647

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

5817 21St Ave W
Bradenton, FL 34209-5641
Phone (941) 794-0379

63 Barkley Cir
Suite 103
Fort Myers, FL 33907-4514
Phone (239) 275-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9431157FLMDCertified Registered Nurse Anesthetist
CRNA000351NVMDCertified Registered Nurse Anesthetist
RN521982LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Aug 1, 2023 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2025 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2025 Accepting new patients
Florida Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Moonlight Anesthesia, P.L. CurrentSince Apr 4, 2022 Accepting new patients
Centurion Anesthesia - FL LLC CurrentSince Jul 1, 2025 Accepting new patients
Anesthesia Services of Manatee LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
SMH Physician Services Inc CurrentSince Jun 25, 2024 Accepting new patients
Quantum Anesthesia Services PA CurrentSince Nov 29, 2016 Accepting new patients
Kettering Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1917 Worth Ct
Bradenton, FL 34211
Phone (866) 747-0391

8000 State Road 64 E
Ste 205
Bradenton, FL 34212
Phone (727) 203-5114

5817 21st Ave W
Bradenton, FL 34209
Phone (941) 794-0379

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

3800 Johnson St
Ste D
Hollywood, FL 33021
Phone (954) 237-3000

931 Toppino Dr
Key West, FL 33040
Phone (305) 293-1801

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

8300 Collier Blvd
Naples, FL 34114
Phone (239) 348-4000

2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

983 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-5355

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

2851 Height St
Sarasota, FL 34240
Phone (516) 458-5128

7441 US 27 N
Sebring, FL 33870
Phone (863) 382-0385

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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, 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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1184783219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "#B-18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "#B-18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393509",
            "country_code": "US",
            "telephone_number": "941-917-6812",
            "fax_number": "941-917-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUESCUN",
        "first_name": "HEATHER",
        "middle_name": "WILEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN521982L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9431157",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.