Individual provider Active NPI

Douglas Cameron McOuat, CRNA

  • Certified Registered Nurse Anesthetist
  • Niceville, FL
National Provider Identifier
1194769554
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1951942 Issued in FL
Practice address
45 Hampton Circle
Niceville, FL 32578-3257
Phone
(850) 842-2642
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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 1951942 FL Primary

Addresses

Primary practice location

45 Hampton Circle
Niceville, FL 32578-3257

Mailing address

1032 Napa Way
Niceville, FL 32578-3934
Phone (850) 678-4691

Other identifiers 1

IdentifierTypeStateIssuer
305194300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001377 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264417617 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nereus AnesthesiaGroup PAC ID 8123483989, 10 clinicians

Practice addresses (Care Compare)

5111 N 12TH Ave
Pensacola, FL 32504-8918
Phone (850) 291-7641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1951942FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nereus Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2023 Accepting new patients
Phoebe Putney Memorial Hospital Inc Current Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2023 Accepting new patients
Ams of Crestview LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2012 Accepting new patients
Miami Anesthesia Services 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
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
Anesthesia Health Care Partners of Florida Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

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

210 S Main St
Crestview, FL 32536
Phone (850) 306-3433

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

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

930 Mar Walt Dr
Ste C
Fort Walton Beach, FL 32547
Phone (850) 244-0406

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

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

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

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

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

2110 W 23rd St
Ste Ac
Panama City, FL 32405

1851 Saint Mary Ave
Pensacola, FL 32501

5111 N 12th Ave
Pensacola, FL 32504
Phone (850) 291-7641

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

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

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1194769554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 NAPA WAY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783934",
            "telephone_number": "850-678-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HAMPTON CIRCLE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783257",
            "telephone_number": "850-842-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCOUAT",
        "first_name": "DOUGLAS",
        "middle_name": "CAMERON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "1951942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305194300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.